Individual
MRS. KELLY RENAE PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
429 LINCOLN CIR, CHARLESTON, WV 25302-4642
(304) 561-7686
Mailing address
429 LINCOLN CIR, CHARLESTON, WV 25302-4642
(304) 561-7686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105760
WV
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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