Individual
MRS. CHRISTINE MARIE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
491 CO ROUTE 78, MIDDLETOWN, NY 10940-7574
(845) 326-1735
Mailing address
491 CO ROUTE 78, MIDDLETOWN, NY 10940-7574
(845) 326-1735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304842-1
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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