Individual
MRS. BETHNEE DAWNIELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-166598
AL
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0036069
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0036069
OH
Other
Enumeration date
05/04/2023
Last updated
10/15/2024
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