Individual
DR. KELLY MORGAN SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C171234
CA
208000000X
Pediatrics Physician
Primary
MD176746
OR
Other
Enumeration date
03/20/2013
Last updated
07/27/2023
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