Organization
JENNIFER BACANI MCKENNEY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BACANI MCKENNEY M.D. (OWNER)
(620) 378-3700
Entity
Organization
Contact information
Practice address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
Mailing address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0432682
KS
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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