Mcmahon, Kelly Sue
Mcmahon, Kelly Sue is an individual health care provider with primary practice located at 1075 Cedar Cross Rd Ste 1 , Dubuque IA 52003-7748. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcmahon, Kelly Sue can be contacted via phone (563) 582-1000.Contact Information
Primary practice address
1075 Cedar Cross Rd Ste 1
Dubuque IA 52003-7748
Phone: (563) 582-1000
Fax: (563) 582-1113
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 087220 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 087220 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7461-33 | Wisconsin |
Profile Details
NPI number | 1013987189 |
---|---|
LBN Legal business name | Mcmahon, Kelly Sue |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Oct 28th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013987189 | NPPES |
Iowa | MEDICAID | 0433433 |
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