# EMILEE KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205688421
- **Gender:** F
- **Credential:** AGNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | 6925143-3102 | UT | — |
| 363L00000X | Nurse Practitioner | 6925143-4405 | UT | — |
| 363LA2200X | Adult Health Nurse Practitioner | 6925143-4405 | UT | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 04/02/2024