Individual
DR. JACLYN MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1133 WESTCHESTER AVE, WHITE PLAINS, NY 10604-3516
(914) 821-9296
Mailing address
RHODE ISLAND HOSPITAL 593 EDDY STREET, PROVIDENCE, RI 02903
(401) 444-4741
(401) 444-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04265
RI
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
322734
NY
Other
Enumeration date
05/29/2018
Last updated
10/02/2023
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