Individual
SCOT R MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
631 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-9025
(570) 340-6920
(570) 340-6923
Mailing address
631 NORTHERN BLVD FL 2, SOUTH ABINGTON TOWNSHIP, PA 18411-9025
(570) 340-6920
(570) 340-6923
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD054788-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017435930003
—
PA
01
—
2159444
AETNA
PA
01
—
51516
GEISINGER
PA
01
—
518350
BLUE CROSS BLUE SHIELD
PA
Enumeration date
03/14/2006
Last updated
12/11/2024
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