Individual
JOHN M MCKENNA
Active
Individual
JOHN M MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37188
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400980
EVERCARE
—
01
—
3100448
MEDICAID WELFARE
—
05
—
3100448
—
MA
01
—
3548152
CIGNA HEALTH PLAN
—
01
—
917962
FIRST HEALTH
—
01
—
9410342002
CIGNA HEALTH PLAN
—
01
—
E09004
BLUE CROSS
—
01
—
W10105401
CIGNA HEALTH PLAN
—
Enumeration date
09/08/2006
Last updated
07/08/2007
Update your record
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