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Individual
JAY MCKENNA
Active
Individual
JAY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
059288
GA
207Q00000X
Family Medicine Physician
141451
NC
207Q00000X
Family Medicine Physician
Primary
M8179
TX
207Q00000X
Family Medicine Physician
MD-21320
HI
207Q00000X
Family Medicine Physician
ME146695
FL
Other
Enumeration date
05/12/2008
Last updated
08/04/2023
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