person
Larry Wayne Kelly JR., PMHNP
Psychiatric/Mental Health Nurse Practitioner in Fairbanks, Alaska
NPI 1487319869

Larry Wayne Kelly JR. is a Psychiatric/Mental Health Nurse Practitioner based in Cumberland, AK and is specialized in Psychiatric/Mental Health. Larry Wayne Kelly JR. practices in Fairbanks, AK and has the professional credentials of PMHNP. The NPI Number for Larry Wayne Kelly JR. is 1487319869 and holds a License No. 183314 (Alaska).

The current practice location address for Larry Wayne Kelly JR. is 1423 Peger Rd, Fairbanks, AK and can be reached out via phone at 907-371-1300. You can also correspond with Larry Wayne Kelly JR. through the mailing address at 906 KINGDOM COME DR, CUMBERLAND, KY - 40823-1547 (mailing address contact number: 606-508-5204).

Location: 1423 Peger Rd, Fairbanks, AK, 40823-1547
person
Provider Profile Details
NPI Number
1487319869
Provider Name
Larry Wayne Kelly JR.
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1423 Peger Rd, Fairbanks, AK, 40823-1547
Phone Number
907-371-1300
Fax Number
Provider Enumeration Date
11/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1423 Peger Rd
City
State
Zip
99709-5169
Phone Number
907-371-1300
Fax Number
person
Provider Business Mailing Address Details
Address
906 Kingdom Come Dr
City
State
Zip
40823-1547
Phone Number
606-508-5204
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
183314 (Alaska)
Definition
Definition to come...
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