Individual
AMY MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR # L235, STANFORD, CA 94305-2200
(650) 723-5252
Mailing address
300 PASTEUR DR # L235, STANFORD, CA 94305-2200
(650) 723-5252
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A70989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154354001
—
AR
Enumeration date
10/13/2006
Last updated
06/26/2008
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