MEDICARE: DR. PAUL FRANCIS MCKENNEY 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	208M00000X	Hospitalist Physician	MD06792	RI
2	207R00000X	Internal Medicine Physician	6792	RI

General Provider Information

NPI Number	:	1548260383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL FRANCIS MCKENNEY M.D.

Provider Business Mailing Address
First Line	:	33 BEACH PARK AVE
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-8405
Country	:	US
Telephone Number	:	401-739-6929
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 BEACH PARK AVE
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-8405
Country	:	US
Telephone Number	:	401-739-6929
Fax Number	:

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	01/04/2021

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