Provider / Organization | NPI | Date Certified |
---|---|---|
CAMERON JAMES MCKENNEY | 1174104475 | 2024-06-09 |
Cameron James Mckenney is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174104475. Registration indicates Cameron James Mckenney is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Dr. Cameron James Mckenney DO |
Practice Office Address | 1865 GEORGETOWN CENTER DR JENISON, MI US |
Practice Office Telephone | 6163918810 |
Mailing Address | 1865 GEORGETOWN CENTER DR STE A JENISON, MI 494287146 US |
Code | Practice | License No State |
---|---|---|
208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 5101027999
MI |