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Individual

LAURA NICOLE KELLEWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
23 COUNTY ROAD 205, OXFORD, MS 38655-9794
(901) 268-9862
Mailing address
23 COUNTY ROAD 205, OXFORD, MS 38655-9794
(901) 268-9862

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903033
MS

Other

Enumeration date
11/09/2019
Last updated
11/09/2019
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