Mkeac LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MKEAC LLC

Practice address

7916 Carraway CT
Maineville, OH 45039-8994

Phone

(513) 463-5788

NPI assigned

Aug 19, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kaitlin Clark

Title

Director of Operations

Phone

(513) 509-9455

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Anne Clark, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maineville, OH
  • NPI 1083450084
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1790662914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 CARRAWAY CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 CARRAWAY CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398994",
            "telephone_number": "513-463-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKEAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "513-509-9455"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Medical, Inc.
• Midwest Medical, LLC
• Daniel Bryan Miller, PHARMD, CDE
• Deborah J. Mills, RN
• Sushila Mishra
• Rebecca Mackenzie Moates, FNP-C
• Taylor Mohan
• Jennifer Mollman
• Christine Murphy Moore, RPH
• Michelle Ann Moore

• Family Nurse Practitioner in Maineville, OH
• Providers in Maineville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.