Individual
MRS. DIANA M. MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753
(732) 280-7855
(732) 280-7815
Mailing address
3700 RT 33, SUITE 101, NEPTUNE, NJ 07753
(732) 280-7855
(732) 280-7815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00241400
NJ
Other
Enumeration date
09/22/2010
Last updated
04/09/2021
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