Individual
DENAY LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
913 FIR ST W, MADERA, CA 93636-9044
(507) 884-0651
(448) 231-2844
Mailing address
201 BOYD STREET, PEPIN, WI 54759-1042
(507) 884-0651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R122886-5
MN
363LF0000X
Family Nurse Practitioner
R122886-5
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031740
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031740
MN
Other
Enumeration date
04/05/2006
Last updated
03/30/2026
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