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Contact Information

TRISTAN J MCKENNA, DO
2605 SW WHITE BIRCH DR
ANKENY, IA50023-7204
 Phone: 515-643-7100
 Fax: 515-643-7145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TRISTAN J MCKENNA · (Male)

NPI Number 1417304403
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/19/2016
Last updated 01/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # DO-05812
Hospital affiliation(s)
  • MERCY MEDICAL CENTER-DES MOINES - (Acute Care)
    1111 6TH AVE
    DES MOINES, IA 50314
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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