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Individual
KELLY MARIE BARKER
Active
Individual
KELLY MARIE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP137416
TX
363LF0000X
Family Nurse Practitioner
Primary
AP137416
TX
390200000X
Student in an Organized Health Care Education/Training Program
RN60460657
WA
Other
Enumeration date
07/18/2014
Last updated
07/30/2018
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