Doctor Name: | KAREN L MCKENNA |
NPI Number: | 1841458825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 128409-030 |
Business Practice Address: | 802 Jackson St Mosinee, WI - 544551347 |
Business Phone Number: | 7156924040 |
Business Fax Number: | |
Mailing Address: | 802 Jackson St, MOSINEE |
State: | WI |
Postal Code: | 544551347 |
Phone Number: | 7156924040 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 128409-030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |