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Organization
CHARLOTTE KELLEY & ASSOCIATES PC
Active
Organization
CHARLOTTE KELLEY & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE M. KELLEY ARNP (PRESIDENT AND CEO)
(515) 277-3400
Entity
Organization
Contact information
Practice address
2600 GRAND AVE, SUITE 125, DES MOINES, IA 50312-5375
(515) 277-3400
(515) 277-9036
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
J059522
IA
363LG0600X
Gerontology Nurse Practitioner
J059522
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420489
—
IA
Enumeration date
05/20/2006
Last updated
01/18/2008
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