Individual
AGNES MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004077
PA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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