Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley McKenna

Individual provider Family Nurse Practitioner · NPI 1528410511

Kelley McKenna is a Nurse Practitioner in Thousand Oaks, California. Qualified in 2015, 11 years ago. Practices with Golden State Providers, a Medical Corporation, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

227 W Janss Rd Ste 340
Thousand Oaks, CA 91360-1847
Phone: (805) 852-9100
Fax: (805) 852-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95004481 (CA)

Record details

NPI number1528410511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2016
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Golden State Providers, A Medical Corporation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Thousand Oaks