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1053807073
MYRA LYNN KELLY
WHITESBURG, KY
NPI
1053807073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3012473)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
MYRA LYNN KELLY APRN
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858-7425
Phone number: 606-633-4871
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Mailing Address
MYRA LYNN KELLY APRN
PO BOX 40
WHITESBURG, KY 41858-0040
Phone number: 606-633-4823
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