Individual
EMILY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 665-2000
(309) 655-2347
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 665-2000
(309) 655-2347
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
041-379353
IL
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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