Individual
KELLI S LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
805 FRONTAGE RD, KENAI, AK 99611
(907) 283-3600
(907) 283-3601
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7303
(907) 260-7301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
227339
LA
363LF0000X
Family Nurse Practitioner
Primary
133545
AK
363LF0000X
Family Nurse Practitioner
201506440NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684877
—
AK
Enumeration date
09/01/2015
Last updated
04/23/2025
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