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1700593076
CANDACE P KELLY
GRUNDY, VA
NPI
1700593076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024185682)
Enumeration Date
2022-11-04
Last Update Date
2024-07-25
Business Address
CANDACE P KELLY
1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614-6975
Phone number: 276-242-2001
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Mailing Address
CANDACE P KELLY
PO BOX 390
HUNTINGTON, WV 25708-0390
Phone number: 304-429-1088
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