MR. KEVIN MCKENNA (NPI# 1003345109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003345109 |
| Entity Type | Individual |
| Full Name | MR. KEVIN MCKENNA |
| Credential | M.S. |
| Practice Address |
1061 Konstanz Ter Sunnyvale CA 94089-2126 |
| Practice Telephone | (916) 601-4858 |
| Mailing Telephone | 9166014858 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295185619 | Kevin Patrick Mckenna | Dentist | 705 Riley Hospital Dr, Suite 4205, Indianapolis, IN 46202-5109 | 2016-06-16 |
| 1902253933 | Kevin Mckenna | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2016-05-19 |
| 1043268634 | Kevin J Mckenna | Colon & Rectal Surgery | 500 University Dr, Hershey, PA 17033 | 2006-05-05 |
| Street Address |
1061 KONSTANZ TER |
| City | SUNNYVALE |
| State | CA |
| Zip Code | 94089-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472723 | Anthony M Salos | Behavioral Analyst | 1355 Torrance Ave, Sunnyvale, CA 94089 | 2018-09-26 |
| 1063907715 | Ian Michael Johnson | Chiropractor | 1109 Lund Terrace Sunnyvale Ca, 94089, Sunnyvale, CA 94089 | 2018-06-26 |
| 1457870636 | Shazia Ahmed Belgam Syed | Dentist | 1350 N Mathilda Ave, Sunnyvale, CA 94089 | 2017-09-19 |
| 1366742470 | Guang Ouyang | Acupuncturist | 1085 Tasman Dr, Apt 77, Sunnyvale, CA 94089 | 2010-10-25 |
| 1811172281 | Pathwork Diagnostic Inc | Clinical Medical Laboratory | 1196 Borregas Ave, Suite 200, Sunnryvale, CA 94089 | 2008-01-04 |
| 1508991449 | Marilou Atienza Cuasay | Dentist | 1153 N Lawrence Expressway, Sunnyvale, CA 94089 | 2007-02-22 |
| 1174602379 | Francisco Ammagauan Mabbayad | Dentist | 1117 Tasman Dr, Sunnyvale, CA 94089 | 2006-11-06 |
| 1073690574 | Tannia G Cisneros | Occupational Therapist | 1290 Lawrence Station Rd, Sunnyvale, CA 94089 | 2006-11-01 |
| 1699726984 | Pulmonary Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1231 Alderwood Ave, Sunnyvale, CA 94089 | 2006-05-12 |
| 1093011447 | Myron Dang | Occupational Therapist | 1290 Lawrence Station Rd, Sunnyvale, CA 94089 | 2011-02-02 |
| Find all providers in zip 94089 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993564 | Empowering Light LLC | Student in an Organized Health Care Education/Training Program | 349 Redstone Dr, Sunnyvale, TX 75182-3240 | 2020-08-21 |
| 1366061947 | Anna T Madrigal | Student in an Organized Health Care Education/Training Program | 201 W California Ave Apt 1203, Sunnyvale, CA 94086-5037 | 2020-04-13 |
| 1912537283 | Melody Khosravi | Student in an Organized Health Care Education/Training Program | 1079 Plymouth Dr # 2, Sunnyvale, CA 94087-1741 | 2020-01-24 |
| 1689141806 | Nia Liz Abraham | Student in an Organized Health Care Education/Training Program | 187 Mustang Dr., Sunnyvale, TX 75182 | 2018-10-25 |
| 1740715812 | Wentao Hao | Student in an Organized Health Care Education/Training Program | 1567 Parrot Ave, Sunnyvale, CA 94087-4945 | 2017-04-26 |
| 1568832178 | Kristine De Mello | Student in an Organized Health Care Education/Training Program | 224 Velvetlake Dr, Sunnyvale, CA 94089-2049 | 2015-09-25 |
| 1487022208 | Shirley Ju | Student in an Organized Health Care Education/Training Program | 431 Cumulus Ave, Sunnyvale, CA 94087-1450 | 2015-09-10 |
| 1912392655 | Amanda Little-richardson | Student in an Organized Health Care Education/Training Program | 1574 Albatross Dr, Unit 1, Sunnyvale, CA 94087-3378 | 2015-03-31 |
| 1629498365 | Nicole Yamaguchi Sun | Student in an Organized Health Care Education/Training Program | 1258 Cranberry Ave, Sunnyvale, CA 94087-2003 | 2014-04-21 |
| 1679839245 | John Simon Van Arnam | Student in an Organized Health Care Education/Training Program | 699 Grand Coulee Ave Apt 1, Sunnyvale, CA 94087-4359 | 2012-04-08 |
| Find all providers in SUNNYVALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.