Individual
DR. DANIEL J MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15761 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4176
(239) 415-8377
(239) 415-8770
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
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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