Individual
RHONDA MARY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
537 UNION AVE, GRANTS PASS, OR 97527
(541) 507-2050
Mailing address
537 UNION AVE, GRANTS PASS, OR 97527-5543
(541) 507-2050
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8096500-8002
UT
Other
Enumeration date
11/03/2011
Last updated
01/22/2019
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