Individual
KELLY BIRELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
306 E MAUMEE ST STE 103, ANGOLA, IN 46703-2038
(260) 667-5148
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012348A
IN
Other
Enumeration date
11/17/2021
Last updated
03/20/2024
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