Individual
SAM MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ DEPT OF, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00276300
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR12165200
NJ
367500000X
Certified Registered Nurse Anesthetist
RN573735
PA
Other
Enumeration date
11/16/2009
Last updated
07/23/2024
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