# MRS. HOLLY JO KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639257595
- **Gender:** F
- **Credential:** RNFA CNOR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 025801 RN00114875 | WA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9632084 | — | WA |