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Individual
MS. STACI W KELL
Active
Individual
MS. STACI W KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004803
KY
363LP2300X
Primary Care Nurse Practitioner
3004803
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78017720
—
KY
Enumeration date
07/14/2006
Last updated
09/03/2024
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