Individual
DANIEL W MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 320, INDIANAPOLIS, IN 46260-2052
(317) 338-2487
Mailing address
8402 HARCOURT RD STE 320, INDIANAPOLIS, IN 46260-2052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
37943
KY
2080P0210X
Pediatric Nephrology Physician
Primary
01062203A
IN
2080P0210X
Pediatric Nephrology Physician
37943
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442070
—
IN
05
—
6406998200
—
KY
Enumeration date
12/02/2005
Last updated
07/25/2022
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