Individual
GEORGE JUSTIN MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302-6416
(740) 375-8135
(740) 375-6468
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34.017462
OH
207RP1001X
Pulmonary Disease Physician
Primary
34.017462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291094
—
OH
Enumeration date
04/03/2018
Last updated
11/06/2024
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