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1033827175
KAILEY R KELLY
GRANTS PASS, OR
NPI
1033827175
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Former Name
KAILEY RENEE GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA214290)
Enumeration Date
2022-11-08
Last Update Date
2023-03-15
Business Address
KAILEY R KELLY PA
500 SW RAMSEY AVENUE
GRANTS PASS, OR 97527-5554
Phone number: 541-472-7000
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Mailing Address
KAILEY R KELLY PA
PO BOX 4749
MEDFORD, OR 97501-0227
Phone number: 541-789-4111
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