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Individual
KELLY CARLSON
Active
Individual
KELLY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010659
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019496
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181792
—
OH
05
—
7100425980
—
KY
Enumeration date
08/03/2016
Last updated
03/23/2021
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