Individual
KELLY ANN VAN DENEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3 RIVER AVE, EUGENE, OR 97404-2506
(503) 972-0235
Mailing address
3 RIVER AVE, EUGENE, OR 97404-2506
(503) 972-0235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201907199NP-PP
OR
Other
Enumeration date
08/22/2019
Last updated
11/14/2022
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