Individual
CARLEEN GRADY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4699
(336) 716-4039
(336) 716-6937
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4039
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
164
NC
Other
Enumeration date
06/03/2021
Last updated
04/21/2025
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