Individual
DANIEL EDWARD MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 6TH AVE S STE 120, ST PETERSBURG, FL 33701
(727) 322-4830
Mailing address
625 6TH AVE S STE 120, ST PETERSBURG, FL 33701-4654
(727) 322-4830
(954) 858-0404
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
96203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275681100
—
FL
Enumeration date
07/12/2006
Last updated
06/19/2018
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