MS. KELLY SUZANNE MCKITTRICK CNM ARNP NPI 1538440623

NPI Information

  • NPI: 1538440623
  • Provider Name: MS. KELLY SUZANNE MCKITTRICK, CNM, ARNP
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 751 NE BLAKELY DR
    FLOOR 3
    ISSAQUAH, WA
    ZIP 98029
  • Phone: (425) 313-4141

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NPI Details

MS. Kelly Suzanne Mckittrick, CNM, ARNP is an obstetrics and gynecology nurse practitioner in Issaquah, WA. MS. Kelly Suzanne Mckittrick, CNM, ARNP NPI is 1538440623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

751 NE BLAKELY DR
FLOOR 3
ISSAQUAH, WA
ZIP 98029-201
Phone: (425) 313-4141
Fax: (425) 313-3354

The NPI 1538440623 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 6/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & Gynecology60431476WASHINGTONYes
2367A00000XAdvanced Practice MidwifeCNM-60AIDAHONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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