# MRS. BETHNEE DAWNIELLE KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962191007
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 1-166598 | AL | — |
| 363LA2100X | Acute Care Nurse Practitioner | APRN.CNP.0036069 | OH | — |
| 363LG0600X | Gerontology Nurse Practitioner | APRN.CNP.0036069 | OH | Yes |

## Other

- **Enumeration date:** 05/04/2023
- **Last updated:** 10/15/2024