Individual
MRS. DIANNA JEAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
200 W HOSPITAL DR, WHITERIVER, AZ 85941-0860
(928) 338-4911
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN120024
AZ
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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