Provider Demographics
NPI:1568145431
Name:SMET, MCKENNA CHRISTINE (MPH, CSCS, CHES)
Entity Type:Individual
Prefix:
First Name:MCKENNA
Middle Name:CHRISTINE
Last Name:SMET
Suffix:
Gender:F
Credentials:MPH, CSCS, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20089 OLD LINE TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7491
Mailing Address - Country:US
Mailing Address - Phone:301-263-4570
Mailing Address - Fax:
Practice Address - Street 1:44427 ATWATER DR STE 130
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3423
Practice Address - Country:US
Practice Address - Phone:703-944-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator