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Kelly Marie Dalton, AGACNP-BC
Gerontology Nurse Practitioner in Springfield, Missouri
NPI 1770119372

Kelly Marie Dalton is a Gerontology Nurse Practitioner based in Springfield, MO and is specialized in Gerontology. Kelly Marie Dalton practices in Springfield, MO and has the professional credentials of AGACNP-BC. The NPI Number for Kelly Marie Dalton is 1770119372 and holds a License No. 2020009164 (Missouri).

The current practice location address for Kelly Marie Dalton is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-3911.

Location: 1235 E Cherokee St, Springfield, MO, 65804-2203
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Provider Profile Details
NPI Number
1770119372
Provider Name
Kelly Marie Dalton
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1235 E Cherokee St, Springfield, MO, 65804-2203
Phone Number
417-820-3911
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420081844 05 MO
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
State
Zip
65804-2203
Phone Number
417-820-3911
Fax Number
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
State
Zip
65804-2203
Phone Number
417-820-3911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2020009164 (Missouri)
Definition
Definition to come...
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