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General NPI Number Information
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NPI Number | 1083082499
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Entity Type | Individual
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Provider Name | KELLIAN R KELLY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1500 SW 10TH AVE
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City | TOPEKA
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State | KS
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Zip | 66604-1301
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Country | US
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Telephone | 785-354-6000
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Fax | 785-270-0086
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Provider Business Mailing Address
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Address Line | 325 MAINE STREET MSO LIBRARY
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City | LAWRENCE
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State | KS
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Zip | 66044
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Country | US
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Telephone | 785-505-2988
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Fax | 785-270-5228
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76919-092
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 76919
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License Number State | KS
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