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Individual

DR. KELLY MEGHAN WREN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
1510 WHITE TAIL DR, BETTENDORF, IA 52722-7103

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34962
IA
207P00000X
Emergency Medicine Physician
ME93335
FL
207P00000X
Emergency Medicine Physician
NC

Other

Enumeration date
03/23/2006
Last updated
07/08/2007
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