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1457741621
KELLY COPELAND
SPRINGFIELD, MO
NPI
1457741621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2014044258)
Enumeration Date
2015-01-27
Last Update Date
2018-08-01
Business Address
KELLY COPELAND FNP
2825 N KANSAS EXPY
SPRINGFIELD, MO 65803
Phone number: 417-868-7026
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Mailing Address
KELLY COPELAND FNP
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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