Individual
CHARLES JAMES MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6124 W PARKER RD STE 530, PLANO, TX 75093-8140
(214) 778-1075
Mailing address
8904 QUARRY RIDGE TRAIL, KELLER, TX 76244
(361) 815-3393
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141458
TX
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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