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Individual

DR. DANIEL J MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME86932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216438
WELLCARE (MEDICARE/MEDICAID)
FL
05
266705300
FL
01
289239
AVMED
FL
01
7907449
AETNA
FL
01
79175
BCBS OF FL
FL
01
8379386
CIGNA
FL
01
P01283323
RAILROAD MCR
FL
01
P305695
FREEDOM HEALTH
FL
01
P952222
OPTIMUM
FL
Enumeration date
02/21/2006
Last updated
04/18/2017
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