JOHNATHAN MCKENNIS CFSA NPI 1265057376

NPI Information

  • NPI: 1265057376
  • Provider Name: JOHNATHAN MCKENNIS, CFSA
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 1011 N GALLOWAY AVE
    MESQUITE, TX
    ZIP 75149
  • Phone: (214) 320-7000

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NPI Details

Johnathan Mckennis, CFSA is an obstetrics gynecology in Mesquite, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Johnathan Mckennis, CFSA NPI is 1265057376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1011 N GALLOWAY AVE
MESQUITE, TX
ZIP 75149-433
Phone: (214) 320-7000

The enumeration date for this NPI number is 6/15/2020 and was last updated on 5/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetrics176541TEXASNo
2207V00000XObstetrics & Gynecology176541TEXASYes

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: 11/21/2025

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