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Individual

DR. PAMELA C MCKENNA

Active
Find providers by NPI
Individual

DR. PAMELA C MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54673-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659433415
WI
01
E04682
CONTROLLED SUBSTANCES
HI
01
MD5231
STATE LICENSE
HI
Enumeration date
12/15/2006
Last updated
03/07/2023
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