Kelly L Staines NP

NPI 1073560579 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073560579
Gender Female
Enumeration Date 05/28/2006
Last Updated 08/31/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
400 TIMMS RD NE
CALHOUN GA, 30701-7016, US
Phone (706) 625-0022
Fax
Business Location
18 PINE GROVE RD
CARTERSVILLE GA, 30120-4067, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN117738
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According to our database, Kelly L Staines NP NPI is 1073560579, taxonomy code is 363L00000X and license number is RN117738, license state is located at Georgia. Kelly L Staines NP physically located at 400 Timms Rd Ne, Calhoun GA, 30701-7016. NPI Number Kelly L Staines NP has the Individual type.

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1073560579 NPI number is provided on an as is basis without warranty of any kind. 1073560579 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly L Staines NP are for informational purposes only.