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Kelly Eileen Church, FNP
Family Nurse Practitioner in Medford, Oregon
NPI 1598309387

Kelly Eileen Church is a Family Nurse Practitioner based in Medford, OR and is specialized in Family. Kelly Eileen Church practices in Medford, OR and has the professional credentials of FNP. The NPI Number for Kelly Eileen Church is 1598309387 and holds a License No. 201390291RN (Oregon).

The current practice location address for Kelly Eileen Church is 910 S Central Ave, Medford, OR and can be reached out via phone at 541-618-1380.

Location: 910 S Central Ave, Medford, OR, 97504-4127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598309387
Provider Name
Kelly Eileen Church
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
910 S Central Ave, Medford, OR, 97504-4127
Phone Number
541-618-1380
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
910 S Central Ave
City
Medford
State
Oregon
Zip
97501-7822
Phone Number
541-618-1380
Fax Number
person
Provider Business Mailing Address Details
Address
910 S Central Ave
City
Medford
State
Oregon
Zip
97501-7822
Phone Number
541-618-1380
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
202000541NP-PP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201390291RN (Oregon)
Definition
Definition to come...
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