person
Lindsay Nicole Kelly, PASTUDENT
Military Health Care Provider in Fort Leonard Wood, Missouri
NPI 1649953274

Lindsay Nicole Kelly is a Military Health Care Provider based in Fort Madison, MO. Lindsay Nicole Kelly practices in Fort Leonard Wood, MO and has the professional credentials of PASTUDENT. The NPI Number for Lindsay Nicole Kelly is 1649953274 and holds a License No. (Missouri).

The current practice location address for Lindsay Nicole Kelly is 4430 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-9627.

Location: 4430 Missouri Ave, Fort Leonard Wood, MO, 52627-3252
person
Provider Profile Details
NPI Number
1649953274
Provider Name
Lindsay Nicole Kelly
Credential
PASTUDENT
Provider Entity Type
Individual
Gender
Female
Address
4430 Missouri Ave, Fort Leonard Wood, MO, 52627-3252
Phone Number
573-596-9627
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4430 Missouri Ave
City
State
Zip
65473-9098
Phone Number
573-596-9627
Fax Number
person
Provider Business Mailing Address Details
Address
4430 Missouri Ave
City
State
Zip
65473-9098
Phone Number
573-596-9627
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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