OrganizationActive
Michael J. Mckenna, MD, Professional Corporation
NPI 1285991612 · Non-Pharmacy Dispensing Site · Las Vegas, NV
Provider details
- NPI number
- 1285991612
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Michael J. Mckenna, MD, Professional Corporation
- Organization subpart
- Yes
- Authorized official
- Michael Mckenna, Owner(702) 307-7700
Specialties & taxonomies
Suppliers
Practice location
6070 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5657
Phone: (702) 307-7700
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Other names (DBA / former)
- Doing business as
- Mckenna and Ruggeroli Pain Specialists
Registry dates
- Enumerated
- 2012-04-23
- Last updated
- 2012-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.