Organization · Type 2 NPI

Michael J. McKenna, Md, Professional Corporation

Non-Pharmacy Dispensing Site · Las Vegas, NV

NPI number 1285991612 Active

Practice location

6070 S Fort Apache Rd, Suite 100
Las Vegas, NV 89148-5657

Call (702) 307-7700 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4 other providers at this address

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NPI record

NPI: 1285991612
Entity type: Organization (Type 2)
Issued: Apr 23, 2012
Last updated: Apr 23, 2012
Status: Active
Subpart: Yes of Michael J. McKenna, Md, Professional Corporation

Other names

<unavail>
McKenna and Ruggeroli Pain Specialists · doing business as

Authorized official

Dr. Michael J. McKenna, MD
Owner
(702) 307-7700

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About NPI 1285991612

Michael J. McKenna, Md, Professional Corporation's National Provider Identifier is 1285991612, issued on Apr 23, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 23, 2012.