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Individual

CHRISTOPHER LEE MCKENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1000 BOULDERS PKWY STE 101, NORTH CHESTERFIELD, VA 23225-5515
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY STE 102, NORTH CHESTERFIELD, VA 23225-5515
(804) 320-4243
(804) 622-0552

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002996
VA
363A00000X
Physician Assistant
Primary
0110004290
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005413583
VA
Enumeration date
10/24/2006
Last updated
05/20/2021
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