Organization
MCKENNEY MEDICAL GROUP, PLLC
Active
Other names
Holland Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN DEW MCKENNEY JR. D.O. (OWNER)
(757) 657-9595
Entity
Organization
Contact information
Practice address
6712A S QUAY RD, SUFFOLK, VA 23437-8697
(757) 657-9595
(757) 657-9950
Mailing address
6712A S QUAY RD, SUFFOLK, VA 23437-8697
(757) 657-9595
(757) 657-9950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102037167
STATE LICENSE
VA
Enumeration date
06/11/2007
Last updated
03/07/2023
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