Individual
KELSEY DANIELLE GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5302 W VILLAGE PKWY STE 3, ROGERS, AR 72758-8139
(479) 372-4560
Mailing address
5302 W VILLAGE PKWY STE 3, ROGERS, AR 72758-8139
(479) 372-4560
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
M002131
AR
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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