Individual
MRS. CARMEN LYNNE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
R099374
AR
363LN0000X
Neonatal Nurse Practitioner
Primary
213270
AR
Other
Enumeration date
03/27/2019
Last updated
11/11/2024
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