Kenneth McKenna, PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KENNETH MCKENNA, PHD LLC

Practice address

1402 N Corinth St Ste 112
Corinth, TX 76208-5445

Phone

(940) 595-9152

Fax

(940) 279-1386

NPI assigned

Oct 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Allen McKenna, PH.D.

Title

Psychologist

Phone

(940) 595-9152

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1679117055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N CORINTH ST STE 112",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085445",
            "telephone_number": "940-595-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N CORINTH ST STE 112",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085445",
            "telephone_number": "940-595-9152",
            "fax_number": "940-279-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH MCKENNA, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "940-595-9152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1346307915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elwaine Kendall Johnson
• Brittany Rachelle Jones
• Geraldine Ngwebam Kake, PMHNP-BC
• Smiljana Keller, PTA
• Kendra Kendall
• Keunyoung Kim
• Mark Kimuchu
• Makayla Knabe
• Gururaj Krishnamurthy, M.D.
• Samantha Nicole Kubicek, LAT, ATC

• Psychologist in Corinth, TX
• Providers in Corinth, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.