Individual
KELLEY BROOKE CORL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C-APN.0103359-C-NP
CO
363L00000X
Nurse Practitioner
Primary
RNP248594
AZ
Other
Enumeration date
10/22/2020
Last updated
05/12/2025
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