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Individual
DR. KELLY MARIE SWADE
Active
Individual
DR. KELLY MARIE SWADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-37491
KS
207Q00000X
Family Medicine Physician
2015041241
MO
207Q00000X
Family Medicine Physician
Primary
20A20448
CA
207QA0505X
Adult Medicine Physician
20A20448
CA
Other
Enumeration date
06/02/2009
Last updated
01/03/2025
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