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Individual

MS. LAURA LEE KELLENBARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NEONATAL NURSE PRACT

Contact information

Practice address
939 OAK STREET, NEONATAL INTENSIVE CARE FAMILY BIRTH CENTER, SALEM, OR 97301-3919
(503) 562-5660
(503) 562-3074
Mailing address
665 WINTER STREET SE, SALEM, OR 97301-3919
(503) 562-5660
(503) 562-3074

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2007500055NP NNP PP
OR

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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