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Individual

MRS. KELLEE MARIE HEDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
611 E DOUGLAS RD, SUITE 108, MISHAWAKA, IN 46545-1464
(574) 968-9100
(574) 246-1141
Mailing address
611 E DOUGLAS RD, SUITE 108, MISHAWAKA, IN 46545-1464
(574) 968-9100
(574) 243-1141

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28167458A
IN
364SM0705X
Medical-Surgical Clinical Nurse Specialist
28167458A
IN

Other

Enumeration date
05/06/2011
Last updated
08/26/2021
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