Individual
KELLY S AIKENS
Active
Individual
KELLY S AIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN214581
GA
363LF0000X
Family Nurse Practitioner
Primary
CNP181218
ME
Other
Enumeration date
12/13/2017
Last updated
01/04/2019
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