Individual
MRS. KELLY THERESA MCKUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3550 PRESTON RIDGE RD, KAISER PERMANENTE ALPHARETTA MEDICAL OFFICE, ALPHARETTA, GA 30005-3821
(773) 296-7032
(773) 296-3096
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209005171
IL
367A00000X
Advanced Practice Midwife
Primary
RN140331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41.310797
—
IL
Enumeration date
08/29/2006
Last updated
01/07/2022
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