person
Mrs. Kay Bowie Kelly, NURSEPRACTITIONER
Primary Care Nurse Practitioner in Core, West Virginia
NPI 1881707453

Kay Bowie Kelly is a Primary Care Nurse Practitioner based in Core, WV and is specialized in Primary Care. Kay Bowie Kelly practices in Core, WV and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kay Bowie Kelly is 1881707453 and holds a License No. 43007 (West Virginia).

The current practice location address for Kay Bowie Kelly is 1929 Mason Dixon Highway, Core, WV and can be reached out via phone at 304-879-5020 and via fax at 304-879-4105.

Location: 1929 Mason Dixon Highway, Core, WV, 26541
person
Provider Profile Details
NPI Number
1881707453
Provider Name
Kay Bowie Kelly
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1929 Mason Dixon Highway, Core, WV, 26541
Phone Number
304-879-5020
Fax Number
304-879-4105
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7101028000 05 WV
WV3681D142 01 WV MEDICARE PTAN
001722602 01 BLUE CROSS
P01268331 01 WV RAILROAD
institution
Provider Business Practice Location Address Details
Address
1929 Mason Dixon Highway
City
State
Zip
26541
Phone Number
304-879-5020
Fax Number
304-879-4105
person
Provider Business Mailing Address Details
Address
1929 Mason Dixon Highway
City
State
Zip
26541
Phone Number
304-879-5020
Fax Number
304-879-4105
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
43007 (West Virginia)
Definition
Definition to come...
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