MEDICARE: KEVIN MCKENNA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	298135	NY

General Provider Information

NPI Number	:	1902253933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MCKENNA M.D.

Provider Business Mailing Address
First Line	:	1225 GERARD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-8015
Country	:	US
Telephone Number	:	844-692-4692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 GERARD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-8015
Country	:	US
Telephone Number	:	844-692-4692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	09/06/2022

Similar Medicare Providers

1063410041 — DR. NELLY MARIA MASEDA M.D.
Practice Location Address:

1225 GERARD AVE FL 2
BRONX, NY
10452-8015

Practice Phone: 718-960-2777
Practice Fax: 187-960-2912

1578907036 — MR. LUIZ ALBERTO LEIVA LMSW
Practice Location Address:

1225 GERARD AVE
BRONX, NY
10452-8015

Practice Phone: 718-960-2624
Practice Fax:

1164860961 — JEREMY M O'CONNOR M.D.
Practice Location Address:

1225 GERARD AVE
BRONX, NY
10452-8015

Practice Phone: 718-960-2777
Practice Fax:

1285023663 — CAROLYN TAM
Practice Location Address:

1225 GERARD AVE
BRONX, NY
10452-8015

Practice Phone: 718-960-2765
Practice Fax:

1316391451 — MRS. POLINA LVOVNA CHIRINA MD
Practice Location Address:

1225 GERARD AVE
BRONX, NY
10452-8015

Practice Phone: 718-960-2781
Practice Fax:

1205367927 — INGRID MITCHELL LCSW
Practice Location Address:

1225 GERARD AVE # 2D15
BRONX, NY
10452-8015

Practice Phone: 718-860-2620
Practice Fax:

Directions to “ KEVIN MCKENNA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.