Individual
KAYLA ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-7038
Mailing address
PO BOX 1700, ROSEBURG, OR 97470-0414
(541) 229-7038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201908069RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10062231
OR
Other
Enumeration date
07/01/2024
Last updated
06/12/2026
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