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NPI Code Detail

MEDICARE: MCKENNA CORMANY

MEDICARE: MCKENNA CORMANY
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.193173OH

General Provider Information

NPI Number : 1790668721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENNA CORMANY
Provider Business Mailing Address
First Line : 2540 BILLINGSLEY RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1990
Country : US
Telephone Number : 614-604-6476
Fax Number : 614-953-2802
Provider Business Practice Location Address
First Line : 2540 BILLINGSLEY RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1990
Country : US
Telephone Number : 614-604-6476
Fax Number : 614-953-2802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 01/07/2026

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Directions to “ MCKENNA CORMANY ” Practice Location

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