Individual
KELLI JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 N MARINE CORPS DR STE 121, TAMUNING, GU 96913-4426
(671) 588-2394
Mailing address
744 N MARINE CORPS DR STE 121, TAMUNING, GU 96913-4426
(671) 588-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-2417
GU
207Q00000X
Family Medicine Physician
MD60633045
WA
207Q00000X
Family Medicine Physician
MED-PHYS-LIC-59169
MT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2013
Last updated
10/15/2024
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