LARRY WAYNE KELLY

FAIRBANKS, AK
NPI1487319869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AK  183314)
Enumeration Date2021-11-01
Last Update Date2021-11-01
Business Address
LARRY WAYNE KELLY PMHNP
1423 PEGER RD
FAIRBANKS, AK 99709-5169
Phone number: 907-371-1300
Mailing Address
LARRY WAYNE KELLY PMHNP
906 KINGDOM COME DR
CUMBERLAND, KY 40823-1547
Phone number: 606-508-5204
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