Individual
MISS CHERYL ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5311 BIG SPRING HWY, SNYDER, TX 79549-6347
(325) 776-2500
(325) 776-2355
Mailing address
1407 SUNNYVALE ST, SWEETWATER, TX 79556-1922
(325) 933-4224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80N426
MEDICARE PART B
TX
Enumeration date
08/22/2005
Last updated
12/03/2009
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