Mckennan A Cook
Military Health Care Provider

Address: Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300
Phone: 6198819169

Mckennan A Cook (NPI# 1013570290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013570290
Entity Type Individual
Full Name Mckennan A Cook
Credential MD
Gender Male
Practice Address Nmcsd 34800 Bob Wilson Drive
San Diego
CA 92134-3300
Practice Telephone 6198819169
Mailing Address Nmcsd 34800 Bob Wilson Drive
San Diego
CA 92134-3300
Mailing Telephone 6198819169
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-04-15
Last Update Date 2019-04-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 171000000X Military Health Care Provider Other Service Providers

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629692389 Christopher Matey Military Health Care Provider 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 2020-05-29
1982225769 Jin Ah Kim Military Health Care Provider Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 2020-05-03
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1588292858 Korina Erin Sandoval Military Health Care Provider Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1033746508 Hannah Johnson Military Health Care Provider 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 2020-03-25
1992366587 Darion Pegues Military Health Care Provider 3530 Kelsey St, San Diego, CA 92124-3516 2019-06-24
1083275762 Tyler Bradshaw Thompson Military Health Care Provider 34, Farenholt Ave, San Diego, CA 92134-0001 2019-06-24
1558924274 Nathan Alley-byrd Military Health Care Provider Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2019-04-18
1295298172 James Gill Military Health Care Provider 2825 Shoup Dr, San Diego, CA 92110-4866 2019-04-09
1093274201 Bj Zhou Osterberger Military Health Care Provider Naval Medical Center San Diego 3400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-03-18
Find all providers in SAN DIEGO

Office Location

Street Address NMCSD 34800 BOB WILSON DRIVE
City SAN DIEGO
State CA
Zip Code 92134-3300

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.