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Individual

KELLI MARIE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1600 E 1ST ST, PRATT, KS 67124-2070
(620) 770-4117
Mailing address
505 N MAIN ST, ELLINWOOD, KS 67526-1438
(620) 639-0238

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78816
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14-113064-111
REGISTERED NURSE
KS
01
78816
ADVANCED PRACTICE REGISTERED NURSE
KS
Enumeration date
06/18/2019
Last updated
01/25/2024
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