Individual
MRS. KATRINA NICOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
350 W COUNTRY CLUB RD STE 203, ROSWELL, NM 88201-5221
(575) 624-4646
(575) 625-8498
Mailing address
350 W COUNTRY CLUB RD STE 203, ROSWELL, NM 88201-5221
(575) 624-4646
(575) 625-8498
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
811
NM
Other
Enumeration date
11/18/2021
Last updated
03/07/2022
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