Individual
DR. SEAN O MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E MARSHALL ST, PEDIATRICS, RICHMOND, VA 23298-5075
(804) 828-0099
(804) 828-6301
Mailing address
PO BOX 980646, RICHMOND, VA 23298-5075
(804) 828-0099
(804) 828-6301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101234938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010006848
—
VA
Enumeration date
09/07/2006
Last updated
04/11/2012
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