Individual
KELSI KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Mailing address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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