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Individual
ELISE MCKENNA
Active
Individual
ELISE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD047525
DC
2086S0120X
Pediatric Surgery Physician
Primary
25MA12859100
NJ
2086S0120X
Pediatric Surgery Physician
325457
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
05/02/2014
Last updated
09/24/2026
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