Individual
MYRA LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 563-1000
(907) 563-2045
Mailing address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 563-1000
(907) 563-2045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
183897
AK
363LF0000X
Family Nurse Practitioner
Primary
3012473
KY
Other
Enumeration date
07/02/2018
Last updated
08/07/2026
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