Individual
DR. KEVIN PATRICK MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1947 E MILITARY AVE, FREMONT, NE 68025-5467
(402) 727-8700
(402) 727-8705
Mailing address
1947 E MILITARY AVE, FREMONT, NE 68025-5467
(402) 727-8700
(402) 727-8705
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
LDR160152
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LDR160152
—
IN
Enumeration date
06/16/2016
Last updated
01/07/2022
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