Individual
KELLI ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
202 S 9TH ST, HUMBOLDT, KS 66748-1908
(620) 473-2275
(620) 473-2821
Mailing address
PO BOX 39, HUMBOLDT, KS 66748-0039
(620) 473-2275
(620) 473-2821
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
08/12/2025
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