Kristie Mckenna | North Andover, MA • PECOS Search

Kristie Mckenna

Counselor

Behavioral Health & Social Service Providers

95 Liberty St, North Andover, MA 01845-3354

PECOS Enrollment

Based on the most recent information from CMS, provider Kristie Mckenna does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1447593264
Provider Type
Individual
Full Name
Mckenna, Kristie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/29/2013
Last Updated
3/29/2013

Contact Information

Practice Location

95 Liberty St, North Andover, MA 01845-3354

Unlisted Fax

Mailing Location

95 Liberty St, North Andover, MA 01845-3354

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer