Individual
MRS. KELLY RAYE ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-2225
(660) 885-3679
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-2225
(660) 885-3679
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
2014019068
MO
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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