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MICHAEL J. MCKENNA MD PROFESSIONAL CORPORATION NPI 1285991612


NPI Information

NPI: 1285991612
Provider Name: MICHAEL J. MCKENNA, MD, PROFESSIONAL CORPORATION

Doing Business As: MCKENNA AND RUGGEROLI PAIN SPECIALISTS

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
6070 S FORT APACHE RD
SUITE 100
LAS VEGAS, NV
ZIP 89148
Phone: (702) 307-7700
Get Directions

MICHAEL J. MCKENNA, MD, PROFESSIONAL CORPORATION is a non pharmacy dispensing site in Las Vegas, NV. The provider is 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.) MICHAEL J. MCKENNA, MD, PROFESSIONAL CORPORATION NPI is 1285991612. The provider is registered as an organization entity type.
The provider Is Doing Business As Mckenna And Ruggeroli Pain Specialists.

The provider's business location address is:

6070 S FORT APACHE RD
SUITE 100
LAS VEGAS, NV
ZIP 89148-657
Phone: (702) 307-7700

The provider's authorized official is Michael J. Mckenna .
The authorized official title is Owner and has the following contact phone number (702) 307-7700.

The enumeration date for this NPI number is 4/23/2012 and was last updated on 4/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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