Individual provider · Type 1 NPI

Shannon McKenna

Student in an Organized Health Care Education/Training Program · Plymouth, MA

NPI number 1174356620 Active

Practice location

61 Industrial Park Rd
Plymouth, MA 02360-7246

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174356620

Shannon McKenna's National Provider Identifier is 1174356620, issued on Aug 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plymouth, MA. The record was last updated on Aug 27, 2024.