Individual
DR. PATRICE A. MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 202-0130
Mailing address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 202-0130
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD422004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019629830001
—
PA
01
—
PO1730089
RAILROAD
PA
Enumeration date
12/29/2005
Last updated
01/13/2017
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