Individual
MICHELLE MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROSEBROOK WAY, WAREHAM, MA 02571-1138
(508) 273-4901
(508) 973-4907
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
253800
MA
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
253800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095467A
—
MA
Enumeration date
05/21/2007
Last updated
01/22/2025
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