Provider Demographics
NPI:1154823581
Name:STRAIN, KELLEY MCQUEEN (CRNP)
Entity type:Individual
Prefix:MS
First Name:KELLEY
Middle Name:MCQUEEN
Last Name:STRAIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 WARD AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3066
Mailing Address - Country:US
Mailing Address - Phone:205-520-4825
Mailing Address - Fax:
Practice Address - Street 1:700 AIRPORT RD SW STE D
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-4360
Practice Address - Country:US
Practice Address - Phone:256-429-4915
Practice Address - Fax:256-429-4507
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-101065363LA2200X, 363LC0200X, 363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology