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Individual

MRS. KELLY A MCKENNA

Active
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Individual

MRS. KELLY A MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
507916-1
NY
207P00000X
Emergency Medicine Physician
304842
NY
363LA2200X
Adult Health Nurse Practitioner
F304842-1
NY
363LF0000X
Family Nurse Practitioner
Primary
APRN11011642
FL

Other

Enumeration date
04/29/2008
Last updated
07/21/2021
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