Individual
CARISA E KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 BUSHNELL DR, WINSTON, OR 97496-4555
(505) 710-9428
Mailing address
780 BUSHNELL DR, WINSTON, OR 97496-4555
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
202213999RN
OR
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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