Provider Demographics
NPI:1538375910
Name:MCKENNA, MARGO K (MD)
Entity type:Individual
Prefix:DR
First Name:MARGO
Middle Name:K
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGO
Other - Middle Name:M
Other - Last Name:BENOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:DEPARTMENT OF OTOLARYNGOLOGY
Mailing Address - Street 2:125 LATTIMORE RD.
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620
Mailing Address - Country:US
Mailing Address - Phone:585-758-5700
Mailing Address - Fax:585-758-1293
Practice Address - Street 1:DEPARTMENT OF OTOLARYNGOLOGY
Practice Address - Street 2:125 LATTIMORE RD.
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-758-5700
Practice Address - Fax:585-758-1293
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218050207Y00000X
MA242624207Y00000X
NY262243207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology