Mckune, Kelly Theresa

Mckune, Kelly Theresa is an individual health care provider with primary practice located at 3550 Preston Ridge Rd Kaiser Permanente Alpharetta Medical Office, Alpharetta GA 30005-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mckune, Kelly Theresa can be contacted via phone (773) 296-7032.

Contact Information

Primary practice address
3550 Preston Ridge Rd Kaiser Permanente Alpharetta Medical Office Alpharetta GA 30005-3821
Phone: (773) 296-7032
Fax: (773) 296-3096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209005171 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN140331 Georgia

Profile Details

NPI number 1376652107
LBN Legal business name Mckune, Kelly Theresa
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 7th, 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 1376652107 NPPES
Illinois MEDICAID 41.310797

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