Individual
MRS. KELLY MARIE NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
777 AUTUMN LEAF DR, BEAVERCREEK, OH 45430-1490
(937) 689-4308
Mailing address
777 AUTUMN LEAF DR, BEAVERCREEK, OH 45430-1490
(937) 689-4308
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN275414
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
03/06/2023
Last updated
04/21/2023
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