Individual
MADISON MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817
(916) 734-2011
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A161502
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
08/14/2019
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