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Individual
KELLY GLEASON MURPHY
Active
Individual
KELLY GLEASON MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95194299
CA
163WE0003X
Emergency Registered Nurse
041387962
IL
363LF0000X
Family Nurse Practitioner
209017644
IL
363LF0000X
Family Nurse Practitioner
Primary
95012557
CA
Other
Enumeration date
04/18/2018
Last updated
02/26/2024
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