person
Kelley Mckenna
Family Nurse Practitioner in Thousand Oaks, California
NPI 1528410511

Kelley Mckenna is a Family Nurse Practitioner based in Thousand Oaks, CA and is specialized in Family. Kelley Mckenna practices in Thousand Oaks, CA. The NPI Number for Kelley Mckenna is 1528410511 and holds a License No. 95004481 (California).

The current practice location address for Kelley Mckenna is 227 W Janss Rd, Thousand Oaks, CA and can be reached out via phone at 805-852-9100 and via fax at 805-852-9101.

Location: 227 W Janss Rd, Thousand Oaks, CA, 91360-1848
person
Provider Profile Details
NPI Number
1528410511
Provider Name
Kelley Mckenna
Credential
Provider Entity Type
Individual
Gender
Female
Address
227 W Janss Rd, Thousand Oaks, CA, 91360-1848
Phone Number
805-852-9100
Fax Number
805-852-9101
Provider Enumeration Date
07/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
628910 01 CA RN REGISTERED NURSE
95004481 01 CA NP
institution
Provider Business Practice Location Address Details
Address
227 W Janss Rd
City
State
Zip
91360-1847
Phone Number
805-852-9100
Fax Number
805-852-9101
person
Provider Business Mailing Address Details
Address
227 W Janss Rd
City
State
Zip
91360-1847
Phone Number
805-852-9100
Fax Number
805-852-9101
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95004481 (California)
Definition
Definition to come...
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