Individual
MRS. OLIVIA HENDERSON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1454
Mailing address
8344 FRANK HOUSER AVE UNIT 1625, COLUMBUS, GA 31909-2673
(706) 392-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP280847
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN280847
GA
Other
Enumeration date
06/23/2025
Last updated
02/03/2026
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