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Individual

STACY ANN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN/CHW

Contact information

Practice address
4102 ROOKS NORTH RD, ATCHISON, KS 66002-6600
(913) 370-1388
Mailing address
810 RAVEN HILL DRIVE, ATCHISON, KS 66002
(913) 370-1388

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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