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Individual

MRS. KELLEY MICHELLE DAWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1225 S GEAR AVE STE 153, W BURLINGTON, IA 52655-1686
(319) 754-4400
(319) 754-4412
Mailing address
1225 S GEAR AVE STE 153, W BURLINGTON, IA 52655-1686
(319) 754-4400
(319) 754-4412

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.014102
IL
363L00000X
Nurse Practitioner
Primary
H132226
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821468927
IA
Enumeration date
10/01/2015
Last updated
08/29/2016
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