Mckenna, Kelley

Mckenna, Kelley is an individual health care provider with primary practice located at 227 W Janss Rd Suite 340, Thousand Oaks CA 91360-1847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mckenna, Kelley can be contacted via phone (805) 852-9100.

Contact Information

Primary practice address
227 W Janss Rd Suite 340 Thousand Oaks CA 91360-1847
Phone: (805) 852-9100
Fax: (805) 852-9101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004481 California

Profile Details

NPI number 1528410511
LBN Legal business name Mckenna, Kelley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2016
Last updated Nov 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528410511 NPPES
California Other 628910 RN REGISTERED NURSE
California Other 95004481 RN REGISTERED NURSE

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