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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Thousand Oaks
State
California
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
Thousand Oaks
State
California
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
363LF0000X
License No.
95004481 (California)
Definition
Definition to come...
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