Individual
MICHAEL JAMES MCKERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14520 W GRANITE VALLEY DR STE 210, SUN CITY WEST, AZ 85375
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
68920
AZ
207X00000X
Orthopaedic Surgery Physician
ME154149
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127695
—
AZ
01
—
207X00000X
TAXONOMY
FL
Enumeration date
03/29/2017
Last updated
08/08/2025
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