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Individual
KELLY LEMON
Active
Individual
KELLY LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89220
WV
363LW0102X
Women's Health Nurse Practitioner
APRN89220
WV
367A00000X
Advanced Practice Midwife
Primary
89220
WV
Other
Enumeration date
12/12/2016
Last updated
11/16/2025
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