Individual
MCKENNA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881405355
—
WI
Enumeration date
01/15/2025
Last updated
02/26/2025
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