Provider Demographics
NPI:1285892349
Name:MCKENAS, DAVID K (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:MCKENAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3110 ANDREW LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2762
Mailing Address - Country:US
Mailing Address - Phone:817-966-3740
Mailing Address - Fax:972-767-1819
Practice Address - Street 1:3110 ANDREW LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2762
Practice Address - Country:US
Practice Address - Phone:817-966-3740
Practice Address - Fax:972-767-1819
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2010-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ17292083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine