Individual
LISA MARY KELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
1215 SW G. STREET, GRANTS PASS, OR 97527-2544
(541) 476-2373
(541) 476-1526
Mailing address
1215 SW G. STREET, GRANTS PASS, OR 97527-2544
(541) 476-2373
(541) 476-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
077039614RN
OR
Other
Enumeration date
12/05/2013
Last updated
12/20/2013
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