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Individual
KELLY EDMONDS BARRINGTON
Active
Individual
KELLY EDMONDS BARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24653
SC
363LP0200X
Pediatric Nurse Practitioner
226627
AZ
363LP0200X
Pediatric Nurse Practitioner
24653
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7521
—
SC
01
—
SCK0355019
MEDICARE PIN
SC
01
—
SCK035H895
MEDICARE PIN
SC
01
—
SCK035J577
MEDICARE PIN
SC
Enumeration date
05/30/2019
Last updated
10/29/2021
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