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Individual
KARA KELLY
Active
Individual
KARA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
R205420
MD
363L00000X
Nurse Practitioner
Primary
R205420
MD
363LF0000X
Family Nurse Practitioner
R205420
MD
Other
Enumeration date
09/23/2014
Last updated
10/30/2024
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