Provider Demographics
NPI:1891009106
Name:MCKENNA, MEGAN ELIZABETH (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:HOOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:5505 ENDEAVOR LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-8803
Mailing Address - Country:US
Mailing Address - Phone:844-870-8870
Mailing Address - Fax:
Practice Address - Street 1:5505 ENDEAVOR LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-8803
Practice Address - Country:US
Practice Address - Phone:844-870-8870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS