Individual
GINA KELLEY
Active
Individual
GINA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.15388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094665
—
OH
05
—
3910000958
—
WV
Enumeration date
11/01/2013
Last updated
12/23/2022
Update your record
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