Organization
KARA KELLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARA L KELLY PMHNP (OWNER)
(949) 274-2881
Entity
Organization
Contact information
Practice address
2955 N HWY 97, SUITE 102, BEND, OR 97703-7559
(949) 274-2881
Mailing address
2955 N HWY 97, SUITE 102, BEND, OR 97703-7559
(949) 274-2881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201604186NP-PP
OR
Other
Enumeration date
08/02/2016
Last updated
08/03/2016
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