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Individual
MRS. KELLI LYNN QUEEN
Active
Individual
MRS. KELLI LYNN QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024168702
VA
363LN0005X
Critical Care Neonatal Nurse Practitioner
62992
WV
Other
Enumeration date
11/23/2009
Last updated
05/13/2025
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