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NPI Code Detail

MEDICARE: KELLI MCCARTNEY APRN,NP-C

MEDICARE: KELLI MCCARTNEY APRN,NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner34388TN
2363LF0000XFamily Nurse Practitioner908350MS
3363LF0000XFamily Nurse Practitioner1230759TX
4363LF0000XFamily Nurse Practitioner023727OH
5363LF0000XFamily Nurse PractitionerA190309IA
6363LF0000XFamily Nurse PractitionerSP034582PA
7363LF0000XFamily Nurse PractitionerTEMP236842AR
8363LF0000XFamily Nurse PractitionerAPRN-5858HI
9363LF0000XFamily Nurse PractitionerAPRN11023303FL
10363LF0000XFamily Nurse Practitioner71016188AIN
11363LF0000XFamily Nurse Practitioner209030452IL

General Provider Information

NPI Number : 1689149742
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI MCCARTNEY APRN,NP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3700 PARK EAST DR STE 450
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4318
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2018
Last Update Date : 04/15/2026

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