Individual
MRS. KELLY ANN DIULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
6034 W 102ND TERRACE, OVERLAND PARK, KS 66207
(417) 861-4514
Mailing address
6034 W 102ND TERRACE, OVERLAND PARK, KS 66207
(417) 861-4514
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
14-141058-021
KS
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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