Mckenney, Jennifer Bacani

Mckenney, Jennifer Bacani is an individual health care provider with primary practice located at 1525 Madison St Suite 3, Fredonia KS 66736-1751. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mckenney, Jennifer Bacani can be contacted via phone (630) 378-3700.

Contact Information

Primary practice address
1525 Madison St Suite 3 Fredonia KS 66736-1751
Phone: (630) 378-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6572 Kansas

Profile Details

NPI number 1689893448
LBN Legal business name Mckenney, Jennifer Bacani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 1st, 2015 - about 11 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 1689893448 NPPES
Kansas Other 1689893448 BCBS OF KANSAS
Kansas Other KA1524 BCBS OF KANSAS
Kansas MEDICAID 200531470B BCBS OF KANSAS

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