Kelly Sue Mcmahon
Nurse Practitioner Nurse Practitioner - Women's Health Nurse Practitioner - Obstetrics & Gynecology
1075 Cedar Cross Rd Ste 1
Dubuque
, Iowa 52003-7748
Kelly Sue Mcmahon
Nurse Practitioner Nurse Practitioner - Women's Health Nurse Practitioner - Obstetrics & Gynecology
1075 Cedar Cross Rd Ste 1
Dubuque
, Iowa 52003-7748
(563) 582-1113
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Women's Health
- Nurse Practitioner - Obstetrics & Gynecology
Languages spoken
- English
Location
First Address
- Kelly Sue Mcmahon
- 1075 Cedar Cross Rd Ste 1
- Dubuque, IA
- Zip : 52003-7748
- Fax : (563) 582-1113
- Phone : (563) 582-1000
Second Address
- Kelly Sue Mcmahon
- 1075 Cedar Cross Rd Ste 1
- Dubuque, IA
- Zip : 52003-7748
- Fax : (563) 582-1113
- Phone : (563) 582-1000
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Is Kelly Sue Mcmahon a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7461-33 | WI |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 087220 | IA |
| N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 087220 | IA |
National Provider Identifier
| NPI | 1013987189 |
|---|---|
| Provider Name | Kelly Sue Mcmahon |
| First Address | Dubuque, IA 52003-7748 |
| Second Address | Dubuque, IA 52003-7748 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 28/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0433433 | (05) | IA |
| P26111 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.