Individual
ANGELA MARIE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
66 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 582-2619
(601) 544-4557
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1593
MS
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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