Doctor Name: | KELLI L MCCAIN |
NPI Number: | 1275826612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 28167311A |
Business Practice Address: | 11109 Parkview Plaza Dr Fort Wayne, IN - 468451701 |
Business Phone Number: | 2602662020 |
Business Fax Number: | 2602662009 |
Mailing Address: | 1234 E. Dupont Rd., Suite 1 FORT WAYNE |
State: | IN |
Postal Code: | 468251525 |
Phone Number: | 2603739728 |
Fax Number: | 2604585664 |
NPI Enumeration Date: | 05/18/2011 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 28167311A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |