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Individual
MS. KRISTIN KELLIE MCCOLLY
Active
Individual
MS. KRISTIN KELLIE MCCOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
100454
MT
363LF0000X
Family Nurse Practitioner
R5006
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100454
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R5006
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9902750
—
MT
Enumeration date
07/09/2008
Last updated
07/15/2022
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