Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY K MCKENNA, MD
ActiveObesity Medicine · CHARLESTON, IL
Registration Details
- NPI Number
- 1396713780
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2006 (20.117588740301 yrs)
- Last Updated
- Aug 5, 2019
- Licenses
-
036-118958 (IL)036-118958 (IL)036.118958 (IL)
Practice Information
- Address
-
100 DEERPATHCHARLESTON, IL, 619209427Browse IL providers · Browse ZIP 61920
- Phone
- 2172348000
- Fax
- 2172348003
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.