Individual
MRS. ASHTON HAYNES KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 W NIFONG BLVD STE 156, COLUMBIA, MO 65203-5615
(573) 777-4700
(844) 366-3221
Mailing address
1000 W NIFONG BLVD STE 156, COLUMBIA, MO 65203-5615
(573) 777-4700
(844) 366-3221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010090
NC
363LF0000X
Family Nurse Practitioner
Primary
2021039843
MO
363LF0000X
Family Nurse Practitioner
A005241
AR
Other
Enumeration date
12/05/2017
Last updated
05/05/2026
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