KELLY EILEEN CHURCH

MEDFORD, OR
NPI1598309387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  202000541NP-PP)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OR  201390291RN)
Enumeration Date2019-11-05
Last Update Date2020-07-02
Business Address
KELLY EILEEN CHURCH FNP
910 S CENTRAL AVE
MEDFORD, OR 97501-7822
Phone number: 541-618-1380
Mailing Address
KELLY EILEEN CHURCH FNP
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-690-3555