Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK H MCKENNA, MD
ActiveDR. PATRICK H MCKENNA, MD is a Pediatric Urology healthcare provider located in ROCKFORD, Illinois. NPI 1952397051 is currently active in the NPPES registry. Verify at CMS.
Pediatric Urology · ROCKFORD, IL
Registration Details
- NPI Number
- 1952397051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2005 (20.907301765932 yrs)
- Last Updated
- Sep 25, 2020
- Licenses
-
036103859 (IL)57335 (WI)036103859 (IL)57335 (WI)
Practice Information
- Address
-
8201 E RIVERSIDE BLVDROCKFORD, IL, 611142300Browse IL providers · Browse ZIP 61114
- Phone
- 8159717255
- Fax
- 8159719955
- Primary Specialty
-
Pediatric Urology
2088P0231X
- Additional Specialty
- Pediatric Urology
- Additional Specialty
- Pediatric Urology
- Additional Specialty
- Urology
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.