Individual
MS. KELLY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 E UNIVERSITY AVE, DES MOINES, IA 50316-2302
(515) 263-5676
Mailing address
217 S 27TH ST, WEST DES MOINES, IA 50265-6498
(515) 771-3625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G103696
IA
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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