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Individual
MS. VENDA KELLEY
Active
Individual
MS. VENDA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3672P
KY
363LF0000X
Family Nurse Practitioner
Primary
ARNP9429926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000226588
ANTHEM
KY
05
—
017319200
—
FL
01
—
1191652
CHA
KY
01
—
2237571
CCN
—
01
—
500026005
RAILROAD MEDICARE
KY
01
—
6EFGA
BLUS CROSS BLUE SHIELD
FL
05
—
78007788
—
KY
01
—
A574
BC/BS
KY
01
—
C60195
CUMBERLAND HEALTHCARE
—
Enumeration date
06/09/2005
Last updated
10/11/2016
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