Individual
KELLI ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1323 GEORGIA RD, HUMBOLDT, KS 66748-3000
(620) 431-2500
(620) 473-6380
Mailing address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-2500
(620) 473-6380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76903
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76903
STATE LICENSE
KS
Enumeration date
09/02/2015
Last updated
07/08/2026
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