Individual provider · Type 1 NPI

Jeffrey K. McKenna, MD

MOHS-Micrographic Surgery Physician · Charleston, IL

NPI number 1396713780 Active

Practice location

100 Deerpath
Charleston, IL 61920-9427

Call (217) 234-8000 Map

Fax (217) 234-8003

Mailing address

3024 E Empire St, Second Floor Ste E & F
Bloomington, IL 61704-5402

Other practice locations

920 West St Ste 212, Peru, IL 61354-2769 · (815) 842-4000
530 Park Ave E Ste 204, Princeton, IL 61356-3902 · (815) 842-4000
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 · (309) 674-7546
3024 E Empire St Ste Eandf, Bloomington, IL 61704-5402 · (309) 451-3376
600 S 13th St, Pekin, IL 61554-4936 · (309) 693-7788

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician	207N00000X	036-118958 (IL)
Procedural Dermatology Physician	207NS0135X	036-118958 (IL)
MOHS-Micrographic Surgery Physician Primary	207ND0101X	036.118958 (IL)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

6 other providers at this address

About NPI 1396713780

Jeffrey K. McKenna, MD's National Provider Identifier is 1396713780, issued on Mar 10, 2006. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Charleston, IL. The record was last updated on Aug 5, 2019.