Individual
JOAN FRANCES KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
058696
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428261952
—
MO
Enumeration date
08/08/2006
Last updated
09/22/2023
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