Individual
KAITLYN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(824) 888-0200
Mailing address
1350 N WELLS ST APT D501, CHICAGO, IL 60610-8074
(856) 630-2679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009633
IL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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