Individual
MRS. MEGAN MARIE KELLY
Active
Individual
MRS. MEGAN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
773614
TX
363LA2200X
Adult Health Nurse Practitioner
AP2786
AZ
Other
Enumeration date
08/22/2007
Last updated
10/29/2009
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