Individual
DARLA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0343
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
898653
MS
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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