MR. GARY ALBERT MCKENNA PA C MHS NPI 1629012596

NPI Information

NPI: 1629012596
Provider Name: MR. GARY ALBERT MCKENNA, PA C MHS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5161 E ARAPAHOE RD
#290
CENTENNIAL, CO
ZIP 80122
Phone: (720) 488-0055
Get Directions

MR. Gary Albert Mckenna, PA C MHS is a medical physician assistant in Centennial, CO. MR. Gary Albert Mckenna, PA C MHS NPI is 1629012596. 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:

5161 E ARAPAHOE RD
#290
CENTENNIAL, CO
ZIP 80122-387
Phone: (720) 488-0055
Fax: (720) 488-3955

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/3/2008.

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
1	363AM0700X	Physician Assistant	Medical	CO353	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C800473	MEDICARE PIN	COLORADO
2	39354784	MEDICAID	COLORADO
3	S92465	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »