Provider Demographics
NPI:1104605633
Name:O'CONNOR, MCKENNA PAIGE (PA-C)
Entity type:Individual
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First Name:MCKENNA
Middle Name:PAIGE
Last Name:O'CONNOR
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Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:689 SIERRA ROSE DR STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2076
Mailing Address - Country:US
Mailing Address - Phone:775-323-3000
Mailing Address - Fax:775-323-3001
Practice Address - Street 1:689 SIERRA ROSE DR STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2076
Practice Address - Country:US
Practice Address - Phone:775-323-3000
Practice Address - Fax:775-323-3001
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-12-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant