Agnes Mckenna, RD is a
Dietitian, Registered based in Warren, Pennsylvania. Agnes Mckenna is licensed to practice in Pennsylvania (license number DN004077) and her current practice location is
2 W Crescent Park, Warren, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 723-4973.
NPI number for Agnes Mckenna is 1780917377 and her current mailing address is 2 W Crescent Park, Warren, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780917377.
Healthcare Provider's Profile
| Full Name | Agnes Mckenna |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 2 W Crescent Park, Warren, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780917377
- Provider Enumeration Date: 09/14/2009
- Last Update Date: 09/14/2009
Medical Identifiers
Medical identifiers for Agnes Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780917377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DN004077 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agnes Mckenna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Agnes Mckenna, RD
2 W Crescent Park,
Warren, PA 16365-2111
Ph: (814) 723-4973 | Agnes Mckenna, RD
2 W Crescent Park,
Warren, PA 16365-2111
Ph: (814) 723-4973 |
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