Individual
MR. STEPHEN JAMES MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA, FACS
Contact information
Practice address
187 THOMAS JOHNSON DR, SUITE 7, FREDERICK, MD 21702-4503
(240) 457-4605
(240) 457-4631
Mailing address
187 THOMAS JOHNSON DR, SUITE 7, FREDERICK, MD 21702-4503
(240) 457-4605
(240) 457-4631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0031422
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483881500
—
MD
Enumeration date
03/29/2006
Last updated
06/19/2025
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