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Individual

DARLENE C KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
108 N MAIN STREET, MCVILLE, ND 58254-0307
(701) 322-4347
(701) 322-2250
Mailing address
108 N MAIN STREET, PO BOX 307, MCVILLE, ND 58254-0307
(701) 322-4347
(701) 322-2250

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R17289
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19526
ND
Enumeration date
03/08/2007
Last updated
10/19/2011
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