Individual
NICOLE CHRISTINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 NW 4TH ST, CORVALLIS, OR 97330-4704
(541) 766-6393
(541) 766-6073
Mailing address
180 NW 5TH ST, CORVALLIS, OR 97330-4703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201040104RN
OR
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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