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Individual

MRS. KELLY W DRUMHELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP C

Contact information

Practice address
117 W NORTHSIDE DR, VALDOSTA, GA 31602-1700
(229) 242-6061
(229) 242-6151
Mailing address
117 W NORTHSIDE DR, VALDOSTA, GA 31602-1700
(229) 242-6061
(229) 242-6151

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN141047NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181714338C
GA
05
308955000
FL
01
F0605200
FAMILY NURSE PRACTIONER
01
RN141047NP
LICENCE NUMBER
GA
Enumeration date
08/30/2006
Last updated
10/22/2013
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