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1467528091
BRENDAN MICIANIZL MCKENNA
ASHLAND, KY
NPI
1467528091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: KY 34006)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
-- BRENDAN MICIANIZL MCKENNA MD
2501 LEXINGTON AVE
ASHLAND, KY 41101
Phone number: 606-329-0890
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Mailing Address
-- BRENDAN MICIANIZL MCKENNA MD
PO BOX 513
ASHLAND, KY 41105
Phone number: 606-329-0890
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