Kelly Mckinnon

NPI 1790932671 · on the registry since 2008

Practice

Address: 17 S. River St.
Suite 254
Janesville, WI 53548
Phone: (608) 755-5260
Fax: (608) 755-5267
Organisation at this address: Trivium Llc
Trivium Llc
Cooperative Educational Service Agency 2
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: Counselor
101Y00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin