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Contact Information

MCKENNA C GINN, PA-C
1638 OWEN DR
FAYETTEVILLE, NC28304-3424
 Phone: 910-615-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MCKENNA C GINN · (Female)

NPI Number 1417663634
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/31/2023
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-13188
Hospital affiliation(s) Not Available
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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