Adria Marie McKenna
Technician, Attendant Care Provider in Saint Louis, MO. Individual provider (NPI-1).
NPI number1669017331
StatusActive
Last updated in NPPESNov 16, 2019
Details
- NPI
- 1669017331
- Entity type
- Individual (NPI-1)
- Name
- Adria Marie McKenna
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2019
- Last updated
- Nov 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | MO |
Practice location
5028 Clayridge Dr Apt 309Saint Louis, MO 63129-1251
Phone 314-354-4325
Mailing address
5028 Clayridge Dr Apt 309Saint Louis, MO 63129-1251
Is something wrong?
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All 24 Attendant Care Provider providers in Saint Louis · All 34,755 providers in Saint Louis
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