Individual
KIMBERLY ROSE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4953
(270) 789-0034
(270) 789-0097
Mailing address
102 WINSTON WAY STE 5, CAMPBELLSVILLE, KY 42718-4991
(270) 789-0034
(270) 789-0097
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
KY
363LF0000X
Family Nurse Practitioner
Primary
4091P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012481
—
KY
Enumeration date
10/25/2006
Last updated
02/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us