Individual
NATASHA NICOLE KELLEY-WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
816 22ND AVE, SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
(308) 865-2541
Mailing address
816 22ND AVE, SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113722
NE
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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