Individual
TRISTAN JOSEPH MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2605 SW WHITE BIRCH DR, ANKENY, IA 50023-7204
(515) 643-7100
(515) 643-7145
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-7100
(515) 643-7145
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO-05812
IA
207Q00000X
Family Medicine Physician
Primary
DO-05812
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
01/05/2023
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