Individual
MRS. ANGELA DENISE KITCHENS KELLEY
Active
Individual
MRS. ANGELA DENISE KITCHENS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, GNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN0000018133
TN
363LG0600X
Gerontology Nurse Practitioner
RN085412
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G709374
MEDICARE PTAN
TN
Enumeration date
05/02/2007
Last updated
03/30/2016
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