Individual
KELLY EILEEN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
910 S CENTRAL AVE, MEDFORD, OR 97501-7822
(541) 618-1380
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201390291RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202000541NP-PP
OR
Other
Enumeration date
11/05/2019
Last updated
07/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us