Individual
MICHAEL G. MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 S GULPH RD, KING OF PRUSSIA, PA 19406-3112
(610) 382-5900
(610) 382-5919
Mailing address
140 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1421
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA060033
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7374704
—
NJ
Enumeration date
06/13/2006
Last updated
11/30/2023
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