Individual
JAMES M MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, WENTWORTH DOUGLASS HOSPITAL, DOVER, NH 03820
(603) 749-7246
(603) 749-2453
Mailing address
3998 FAIR RIDGE DR, SUITE # 300, FAIRFAX, VA 22030-2921
(603) 749-7246
(603) 749-2453
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
7230
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001205
—
NH
Enumeration date
12/28/2005
Last updated
03/31/2015
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