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Individual
FRANK KELLY
Active
Individual
FRANK KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
789398
CA
163WH0200X
Home Health Registered Nurse
Primary
789398
CA
163WH1000X
Hospice Registered Nurse
789398
CA
163WI0500X
Infusion Therapy Registered Nurse
789398
CA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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