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Individual
KIM MCKENNA
Active
Individual
KIM MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
71211
MN
2085R0202X
Diagnostic Radiology Physician
71211
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2016
Last updated
05/26/2026
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