Kelly Elizabeth McKinnon, DPT
Physical Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1366094443
StatusActive
Last updated in NPPESJul 10, 2019
Details
- NPI
- 1366094443
- Entity type
- Individual (NPI-1)
- Name
- Kelly Elizabeth McKinnon
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2019
- Last updated
- Jul 10, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT013428 | GA | Yes |
Practice location
2001 Peachtree Rd Ne Ste 200Atlanta, GA 30309-1476
Phone 404-605-1750
Mailing address
3326 Gables Dr NeBrookhaven, GA 30319-5349
Phone 815-209-6824
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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