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Contact Information

MICHELLE MCKENNEY
100 ROSEBROOK WAY
WAREHAM, MA02571-1138
 Phone: 508-273-4901
 Fax: 508-973-4907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHELLE MCKENNEY · (Female)

NPI Number 1518176320
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2007
Last updated 01/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 253800
  • MA Medicaid 110095467A
Hospital affiliation(s)
  • SOUTHCOAST HOSPITAL GROUP INC - (Acute Care)
    363 HIGHLAND AVENUE
    FALL RIVER, MA 02720
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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