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Individual
MRS. PATTI SUE KELLY
Active
Individual
MRS. PATTI SUE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
081578
IA
163WC0400X
Case Management Registered Nurse
081578
IA
163WP0200X
Pediatric Registered Nurse
081578
IA
363LF0000X
Family Nurse Practitioner
A081578
IA
363LP2300X
Primary Care Nurse Practitioner
A081578
IA
363LX0106X
Occupational Health Nurse Practitioner
Primary
A081578
IA
Other
Enumeration date
03/15/2013
Last updated
09/29/2021
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