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Individual
KELLY STRAIGHT
Active
Individual
KELLY STRAIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
766401
CA
363LF0000X
Family Nurse Practitioner
Primary
95015594
CA
Other
Enumeration date
09/10/2020
Last updated
12/15/2023
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