Individual
DR. JOHN DAVID MACKENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6550 N WICKHAM RD, SUITE 4, MELBOURNE, FL 32940-2038
(321) 259-4268
(321) 259-4369
Mailing address
6550 N WICKHAM RD, SUITE 4, MELBOURNE, FL 32940-2038
(321) 259-4268
(321) 259-4369
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3043
FL
Other
Enumeration date
05/04/2006
Last updated
08/09/2011
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