Individual
JAMES JOSEPH MCKENNA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 LACKAWANNA AVE STE 200, SCRANTON, PA 18503-2001
(570) 342-7864
Mailing address
2100 MACK BLVD FL 2, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063686
PA
Other
Enumeration date
07/09/2022
Last updated
01/26/2023
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