Individual
KELLY MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L1-0051044
DE
Other
Enumeration date
03/19/2019
Last updated
11/08/2019
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