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NPI Code Detail

MEDICARE: MRS. BARBARA JOAN KELL R.N.C.

MEDICARE:  MRS. BARBARA JOAN KELL  R.N.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerRN091419GA

General Provider Information

NPI Number : 1831194893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA JOAN KELL R.N.C.
Provider Business Mailing Address
First Line : 3471 MILLER FARMS LN
Second Line :
City : DULUTH
State : GA
Zip : 30096-6141
Country : US
Telephone Number : 770-729-1694
Fax Number :
Provider Business Practice Location Address
First Line : 3650 STEVE REYNOLDS BLVD
Second Line :
City : DULUTH
State : GA
Zip : 30096-4506
Country : US
Telephone Number : 770-931-6106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. BARBARA JOAN KELL R.N.C.” Practice Location

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