Individual
JOSEPH CARNELIUS MCKENNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 N KENNEDY AVE, STE 105, SHAWNEE, OK 74801-4700
(405) 275-1999
(405) 275-2114
Mailing address
PO BOX 720276, NORMAN, OK 73070-4208
(405) 292-5500
(405) 292-5505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12726
OK
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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