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Charles James McKenna

Nurse Practitioner, Acute Care in Plano, TX. Individual provider (NPI-1).

NPI number1679110332
StatusActive
Last updated in NPPESDec 2, 2019

Details

NPI
1679110332
Entity type
Individual (NPI-1)
Name
Charles James McKenna
Sex
Male
Sole proprietor
No
Enumeration date
Dec 2, 2019
Last updated
Dec 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute CareAP141458TXYes

Practice location

6124 W Parker Rd Ste 530
Plano, TX 75093-8140

Phone 214-778-1075

Mailing address

8904 Quarry Ridge Trail
Keller, TX 76244

Phone 361-815-3393

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