Individual
KELLI K NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44687
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100301500A
—
KS
01
—
160058
MEDICARE PTAN
KS
Enumeration date
08/03/2006
Last updated
09/11/2025
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