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Individual

MICHELLE MCKENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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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