Individual
KELLY LOUISE BIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
(541) 426-4524
(541) 426-3035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201708130RN
OR
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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