Individual
MRS. KELLY LYNNE MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
379 STANAFORD RD, BECKLEY, WV 25801-3141
(304) 253-3000
(304) 255-7884
Mailing address
379 STANAFORD RD, BECKLEY, WV 25801-3141
(304) 253-3000
(304) 255-7884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN61813NP
WV
Other
Enumeration date
08/28/2014
Last updated
01/28/2018
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