Mckenney, Patrice A.

Mckenney, Patrice A. is an individual health care provider with primary practice located at 775 Norman Dr , Lebanon PA 17042-7497. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mckenney, Patrice A. can be contacted via phone (717) 274-5500.

Contact Information

Primary practice address
775 Norman Dr Lebanon PA 17042-7497
Fax: (717) 202-0130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD422004 Pennsylvania

Profile Details

NPI number 1134106180
LBN Legal business name Mckenney, Patrice A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 13th, 2017 - about 8 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 1134106180 NPPES
Pennsylvania MEDICAID 0019629830001
Pennsylvania Other PO1730089

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