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Individual
SHELLY RENEE KEIP
Active
Individual
SHELLY RENEE KEIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN - FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
184401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN184401
GA LICENSES
GA
Enumeration date
03/18/2014
Last updated
01/03/2019
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