# CHARLOTTE KELLEY & ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104870674
- **Authorized official:** CHARLOTTE M. KELLEY ARNP (PRESIDENT AND CEO)
- **Authorized official phone:** (515) 277-3400

## Contact information

- **Practice address:** 2600 GRAND AVE, SUITE 125, DES MOINES, IA 50312-5375
- **Practice address phone:** (515) 277-3400
- **Practice address fax:** (515) 277-9036
- **Mailing address:** 2213 GRAND AVE, DES MOINES, IA 50312-5305
- **Mailing address phone:** (515) 237-3974
- **Mailing address fax:** (515) 883-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | J059522 | IA | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | J059522 | IA | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 01/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0420489 | — | IA |