Individual
MRS. KELLY B NEAL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
500 POPLAR ST STE 304, SOUTH CHARLESTON, WV 25309-1474
(304) 767-7770
(304) 767-7779
Mailing address
500 POPLAR ST STE 304, SOUTH CHARLESTON, WV 25309-1474
(304) 767-7770
(304) 767-7779
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
58641
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58641
NURSE LICENSE
WV
Enumeration date
09/18/2007
Last updated
09/18/2007
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