Provider Demographics
NPI:1336713528
Name:MCKENNA, CATHERINE ELIZABETH (MD)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:ST LUKE'S HOSPITAL DEPT OF ANESTHESIOLOY
Mailing Address - Street 2:4401 WORNALL RD
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111
Mailing Address - Country:US
Mailing Address - Phone:816-522-5656
Mailing Address - Fax:816-932-2843
Practice Address - Street 1:ST LUKE'S HOSPITAL DEPT OF ANESTHESIOLOY
Practice Address - Street 2:4401 WORNALL RD
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111
Practice Address - Country:US
Practice Address - Phone:816-932-2107
Practice Address - Fax:816-932-2843
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2021015917390200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program