Organization
STEPHEN J MCKENNA, LLC
Active
Other names
McKenna Surgical Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J MCKENNA M.D. (OWNER/PHYSICIAN)
(301) 651-0023
Entity
Organization
Contact information
Practice address
187 THOMAS JOHNSON DRIVE, SUITE 7, FREDERICK, MD 21702-4503
(240) 457-4605
(240) 457-4631
Mailing address
187 THOMAS JOHNSON DRIVE, SUITE 7, FREDERICK, MD 21702-4503
(240) 457-4605
(240) 457-4631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D31422
MD
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336913700
—
MD
05
—
483881500
—
MD
Enumeration date
03/11/2011
Last updated
07/31/2025
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