Individual
KATHLEEN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2023 VALE RD, SAN PABLO, CA 94806-3834
(510) 215-9092
Mailing address
2023 VALE RD, SAN PABLO, CA 94806-3834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
758309
CA
176B00000X
Midwife
Primary
12979
NY
Other
Enumeration date
05/16/2010
Last updated
05/16/2010
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