TRISTAN JOSEPH MCKENNA

ANKENY, IA
NPI1417304403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  DO-05812)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: IA  DO-05812)
Enumeration Date2016-05-19
Last Update Date2023-01-05
Business Address
TRISTAN JOSEPH MCKENNA DO
2605 SW WHITE BIRCH DR
ANKENY, IA 50023-7204
Phone number: 515-643-7100
Mailing Address
TRISTAN JOSEPH MCKENNA DO
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-7100