| Doctor Name: | KELLY SUE MCMAHON |
| NPI Number: | 1013987189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 087220 |
| Business Practice Address: | Women's Wellness Center, Pc 777 Mazzuchelli Place Dubuque, IA - 52001 |
| Business Phone Number: | 5635880011 |
| Business Fax Number: | 5635880595 |
| Mailing Address: | Po Box 2400, WATERLOO |
| State: | IA |
| Postal Code: | 507042400 |
| Phone Number: | 3192333044 |
| Fax Number: | 3192330722 |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 087220 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |