Kelly Mckenna is a Mental Health in Peoria, Illinois. Kelly Mckenna practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kelly Mckenna is 1982723250. The last update date is 2009-06-08.
Kelly Mckenna's current location address is 3400 W New Leaf Ln, Peoria, Illinois. You can contact this provider via phone number 3092821084 and fax number 3092821089. The mailing address for Kelly Mckenna is 3400 W New Leaf Ln, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Mckenna |
|---|---|
| Address | 3400 W New Leaf Ln, Peoria, Illinois |
| Phone Number | 3092821084 |
| Fax Number | 3092821089 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1982723250 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2009-06-08 |
Provider Mailing Address Detail
| Address | 3400 W New Leaf Ln |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616153311 |
| Phone Number | 3092821084 |
| Fax Number | 3092821089 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 150010658 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Kelly Mckenna's unique identification number?
The Kelly Mckenna has been assigned the NPI (National Provider Identifier) Number 1982723250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kelly Mckenna's facilities are situated?
The facilities of Kelly Mckenna are physically located at the following address: 3400 W New Leaf Ln, Peoria, IL, 616153311.
What is the Kelly Mckenna's specialty and taxonomy code?
The Kelly Mckenna's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982723250 to Kelly Mckenna?
The Centers for Medicare & Medicaid Services assigned the 1982723250 to Kelly Mckenna on 2007-03-28.
When was the information related to Kelly Mckenna most recently updated or refreshed?
The details pertaining to the Kelly Mckenna, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-08.