Individual
MRS. VIVIAN A. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2720
(706) 787-8176
Mailing address
300 W. HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2720
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN159555
GA
372500000X
Chore Provider
Primary
1-050977
AL
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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