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Individual

DR. DANIELLE ROSE MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
6670 PERIMETER DR, SUITE 240, DUBLIN, OH 43016-8056
(614) 339-2000
(614) 339-2003
Mailing address
1045 BEECHER XING N, SUITE A, GAHANNA, OH 43230-4573
(614) 304-0019
(614) 304-0023

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
BG4690395-M91
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074533
OH
Enumeration date
09/22/2010
Last updated
05/11/2017
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