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Individual
TRISTAN JOSEPH MCKENNA
Active
Individual
TRISTAN JOSEPH MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO-05812
IA
207Q00000X
Family Medicine Physician
Primary
DO-05812
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/19/2016
Last updated
01/05/2023
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