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Individual

MISS KELLI J SWAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
415 N MAIN ST, ULYSSES, KS 67880-2133
(620) 356-1266
(620) 356-2302
Mailing address
415 N MAIN ST, ULYSSES, KS 67880-2133
(620) 356-1266
(620) 356-2302

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-APRN75125
KS
363LA2200X
Adult Health Nurse Practitioner
2008000823
MO

Other

Enumeration date
10/07/2009
Last updated
05/01/2020
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