Mckenna, Gary Albert

Mckenna, Gary Albert is an individual health care provider with primary practice located at 5161 E Arapahoe Rd #290, Centennial CO 80122-2387. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mckenna, Gary Albert can be contacted via phone (720) 488-0055.

Contact Information

Primary practice address
5161 E Arapahoe Rd #290 Centennial CO 80122-2387
Phone: (720) 488-0055
Fax: (720) 488-3955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X CO353 Colorado

Profile Details

NPI number 1629012596
LBN Legal business name Mckenna, Gary Albert
Credentials PA C MHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629012596 NPPES
Colorado MEDICAID 39354784

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