Individual
KELLY MARIE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2440 N 11TH ST, GRAND JUNCTION, CO 81501-8102
(970) 243-0900
Mailing address
1 THORNWOOD RD, CLOVER, SC 29710-8926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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