# MCKENNA A GOTTFRIED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003328592
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28194377A | IN | — |
| 363L00000X | Nurse Practitioner | 71007667A | IN | Yes |
| 363L00000X | Nurse Practitioner | APRN.CNP.0036791 | OH | — |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 07/30/2024