Provider Demographics
NPI:1144972670
Name:MCKENNA, ANN (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:MCKENNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:203 BRAYBARTON BLVD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2337
Mailing Address - Country:US
Mailing Address - Phone:412-366-5342
Mailing Address - Fax:
Practice Address - Street 1:203 BRAYBARTON BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2337
Practice Address - Country:US
Practice Address - Phone:412-366-5342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education