Provider Demographics
NPI:1508456476
Name:MCKENNA, ANSLEY (APRN)
Entity Type:Individual
Prefix:
First Name:ANSLEY
Middle Name:
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2200 SW 6TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1707
Mailing Address - Country:US
Mailing Address - Phone:785-354-8518
Mailing Address - Fax:785-354-1255
Practice Address - Street 1:2921 SW WANAMAKER DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5328
Practice Address - Country:US
Practice Address - Phone:785-272-6860
Practice Address - Fax:785-272-5839
Is Sole Proprietor?:No
Enumeration Date:2021-01-24
Last Update Date:2021-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS79841207Q00000X
KS53-79841363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine