Individual
MRS. ANGELA MARIE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 SW 160TH ST, OKLAHOMA CITY, OK 73170-7635
(716) 310-0410
Mailing address
516 SW 160TH ST, OKLAHOMA CITY, OK 73170-7635
(716) 310-0410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0146961
NY
Other
Enumeration date
01/29/2008
Last updated
06/20/2016
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