Individual
MRS. CASSIE JO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1075 LAFAYETTE PKWY, LAGRANGE, GA 30241-3504
(706) 443-5273
Mailing address
114 PADDLE WHEEL DR, LAGRANGE, GA 30240-9122
(706) 302-3833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN222812
GA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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