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1285068270
KELLI DEANNE KING
COLUMBUS, MS
NPI
1285068270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MS R876221)
Enumeration Date
2013-08-26
Last Update Date
2014-02-14
Business Address
KELLI DEANNE KING ACNP-BC
255 BAPTIST BLVD STE 401
COLUMBUS, MS 39705-2011
Phone number: 662-244-2288
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Mailing Address
KELLI DEANNE KING ACNP-BC
965 RIDGE LAKE BLVD SUITE #103
MEMPHIS, TN 38120-9401
Phone number: 901-227-4068
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