Individual
KELLY STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3100
Mailing address
103 W 2ND ST, LAUREL, DE 19956-1043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0054588
DE
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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