Individual
JOYCE M MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1349 E 3RD ST, DELTA, CO 81416-2509
(970) 874-1002
(970) 874-2588
Mailing address
1349 E 3RD ST, DELTA, CO 81416-2509
(970) 874-1002
(970) 874-2588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35022
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01350222
—
CO
Enumeration date
06/03/2006
Last updated
05/06/2009
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