Individual
KELLOWAY DEE NORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Mailing address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45912
WY
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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