Kevin X Mckennan Otolaryngology
1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314


Kevin X Mckennan is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1356344022. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2365511409. The primary specialty is OTOLARYNGOLOGY. The organization is SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC. The address is 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314. The zip code is 95815.


Kevin X Mckennan · 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314

Nation Provider ID 1356344022
PAC ID by PECOS 2365511409
Professional Enrollment ID I20081223000221
Last Name MCKENNAN
First Name KEVIN
Middle Name X
Gender M
Medical School Name ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 1978
Primary Specialty OTOLARYNGOLOGY
Primary Specialty SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC
Phone Number 9167363399
Group Practice PAC ID 6204905342
Number of Group Practice Members 26
Address 1111 EXPOSITION BLVD
SUITE 700
SACRAMENTO, CA 958154314
Claims Based Hospital Affiliation Claim Control Number (CCN): 050108
Legal Business Name: SUTTER MEDICAL CENTER, SACRAMENTO
Claims Based Hospital Affiliation Claim Control Number (CCN): 050309
Legal Business Name: SUTTER ROSEVILLE MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 290019
Legal Business Name: CARSON TAHOE REGIONAL MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 050150
Legal Business Name: SIERRA NEVADA MEMORIAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 290001
Legal Business Name: RENOWN REGIONAL MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

subpremise: 700
street_number: 1111
route: Exposition Boulevard (Exposition Blvd)
neighborhood, political: Johnston Business Park
locality, political: Sacramento
admin_level_2, political: Sacramento County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 95815
types : subpremise
latitude: 38.5991979
longitude: -121.4493047
latlng: (38.5991979, -121.4493047)


Sacramento Ear Nose and Throat Surgical and Medical Group Inc · Medicare Physician

Name Address Specialty
Travis Miller 1111 Exposition Blvd, Sacramento, CA 95815-4314 ALLERGY/IMMUNOLOGY
Donald Clutter 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Ronald Dong 10200 Trinity Pkwy, Stockton, CA 95219-7288 OTOLARYNGOLOGY
Sara Goldfarb 2 Medical Plaza Dr, Roseville, CA 95661-3044 AUDIOLOGIST
Spencer Lowe 10200 Trinity Pkwy, Stockton, CA 95219-7288 OTOLARYNGOLOGY
David Evans 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Randall Ow 2 Medical Plaza Dr, Roseville, CA 95661-3044 OTOLARYNGOLOGY
David Kiener 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Eli Groppo 1561 Creekside Dr, Folsom, CA 95630-3495 OTOLARYNGOLOGY
Denise Guendert 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Timothy Fife 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Richard Areen 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Michael Trauner 1111 Exposition Blvd, Sacramento, CA 95815-4314 DERMATOLOGY
Kristin Bennett 10200 Trinity Pkwy, Stockton, CA 95219-7288 OTOLARYNGOLOGY
Michael Kearns 6600 Mercy Ct, Fair Oaks, CA 95628-3198 OTOLARYNGOLOGY
Andrew Limb 10200 Trinity Pkwy, Stockton, CA 95219-7288 OTOLARYNGOLOGY
Catherine Schnepp 1111 Exposition Blvd, Sacramento, CA 95815-4314 NURSE PRACTITIONER
Sandra Rayner 1111 Exposition Blvd, Sacramento, CA 95815-4314 AUDIOLOGIST
Joseph Marino 1111 Exposition Blvd, Sacramento, CA 95815-4314 ALLERGY/IMMUNOLOGY
Morris Balfour 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY

Zip 95815 · Otolaryngology · Medicare Physician

Name Address Specialty
Richard Areen 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
David Kiener 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Morris Balfour 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Timothy Fife 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
David Evans 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Donald Clutter 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY
Denise Guendert 1111 Exposition Blvd, Sacramento, CA 95815-4314 OTOLARYNGOLOGY

Zip 95815 · Medicare Physician

Name Address Specialty
Edwin Ventocilla 3234 Marysville Blvd, Sacramento, CA 95815-1411 PHYSICIAN ASSISTANT
William Duffy 1767 Tribute Rd H, Sacramento, CA 95815-4409 ORTHOPEDIC SURGERY
David Herbert 1485 River Park Dr, Sacramento, CA 95815-4530 INFECTIOUS DISEASE
Peter Carruth 1792 Tribute Rd, Sacramento, CA 95815-4322 CARDIAC SURGERY
Virgina Lee 1111 Exposition Blvd, Sacramento, CA 95815-4335 NEUROLOGY
Jung Park 3234 Marysville Blvd, Sacramento, CA 95815-1411 PEDIATRIC MEDICINE
Rowan Baird 3234 Marysville Blvd, Sacramento, CA 95815-1411 FAMILY PRACTICE
Kao Lee 3234 Marysville Blvd, Sacramento, CA 95815-1411 NURSE PRACTITIONER
Jacob Brubaker 1515 River Park Dr, Sacramento, CA 95815-4605 OPHTHALMOLOGY
Kanwal Deep Randhawa 1485 River Park Dr, Sacramento, CA 95815-4530 PULMONARY DISEASE
Heidi Pham 1689 Arden Way, Sacramento, CA 95815-4096 OPTOMETRY
Nathaniel Gordon 1485 River Park Dr, Sacramento, CA 95815-4530 INTERNAL MEDICINE
Jenette Cope 1111 Exposition Blvd, Sacramento, CA 95815-4324 NURSE PRACTITIONER
Paul Chretien 1111 Exposition Blvd, Sacramento, CA 95815-4533 NEUROLOGY
Nidhika Babbar Taneja 1111 Exposition Blvd, Sacramento, CA 95815-4324 NEPHROLOGY
Tuan Tran 1650 Response Rd, Sacramento, CA 95815-4807 INTERNAL MEDICINE
Peter Wu 1650 Response Rd, Sacramento, CA 95815-4807 OPHTHALMOLOGY
Patricia Sierra 1515 River Park Dr, Sacramento, CA 95815-4605 OPHTHALMOLOGY
Samuel Lee 1515 River Park Dr, Sacramento, CA 95815-4605 OPHTHALMOLOGY
Amy Samolis 1485 River Park Dr, Sacramento, CA 95815-4530 NURSE PRACTITIONER