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Individual
KELLY A MCMANIS
Active
Individual
KELLY A MCMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25400
SC
363L00000X
Nurse Practitioner
3013368
KY
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.024394
OH
363LF0000X
Family Nurse Practitioner
25400
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7919
—
SC
Enumeration date
04/09/2019
Last updated
03/28/2023
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