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1144761057
KELLY L. PRATHER
MOORESVILLE, IN
NPI
1144761057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71001368A)
Enumeration Date
2017-03-10
Last Update Date
2023-05-30
Business Address
KELLY L. PRATHER FNP-BC
1199 HADLEY RD STE 100
MOORESVILLE, IN 46158-1788
Phone number: 317-834-3263
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Mailing Address
KELLY L. PRATHER FNP-BC
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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