Individual
DR. THERESA KINNEY PAYANT MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3033 IRVINGTON WAY, MADISON, WI 53713-3413
(608) 381-7797
Mailing address
3033 IRVINGTON WAY, MADISON, WI 53713-3413
(608) 381-7797
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56699-20
WI
207P00000X
Emergency Medicine Physician
57721
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/25/2009
Last updated
01/06/2025
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