Individual
MS. KELLY JUDITH MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5337
Mailing address
270 KAHA ST, KAILUA, HI 96734-1920
(816) 210-6223
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
2004004562
MO
163WX0002X
High-Risk Obstetric Registered Nurse
740231
CA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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