Individual
EMILEE KELLY
Active
Individual
EMILEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
6925143-3102
UT
363L00000X
Nurse Practitioner
6925143-4405
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
6925143-4405
UT
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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