Individual
JAMES MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7219 MCKNIGHT RD, PITTSBURGH, PA 15237-3524
(412) 367-3278
(412) 367-5083
Mailing address
108 PINEHAVEN COURT, ALIQUIPPA, PA 15001-1301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD038143E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010936400003
—
PA
05
—
0708390
—
OH
01
—
1374814
BLUE SHIELD
PA
01
—
204243
UPMC
PA
Enumeration date
05/01/2006
Last updated
06/28/2011
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