Individual
COLLEEN ANN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
Mailing address
7760 ELIZABETH PIKE, ELIZABETH, WV 26143-7263
(304) 482-2470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
412258
OH
163W00000X
Registered Nurse
Primary
64784
WV
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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