Mckenna, Patrick H

Mckenna, Patrick H is an individual health care provider with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Mckenna, Patrick H can be contacted via phone (815) 971-7255.

Contact Information

Primary practice address
8201 E Riverside Blvd Rockford IL 61114-2300
Phone: (815) 971-7255
Fax: (815) 971-9955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036103859 Illinois
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 57335 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036103859 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 57335 Wisconsin

Profile Details

NPI number 1952397051
LBN Legal business name Mckenna, Patrick H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Sep 25th, 2020 - about 6 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 1952397051 NPPES
Wisconsin MEDICAID 1952397051
Wisconsin MEDICAID 036103859

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