Individual
MADELYN STELLA MCKENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
230 STONEBECK LN, COLORADO SPRINGS, CO 80906-7982
(253) 820-9953
Mailing address
3205 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5147
(719) 776-3216
(719) 776-3220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991240
CO
Other
Enumeration date
05/26/2006
Last updated
07/15/2016
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