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General NPI Number Information
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NPI Number | 1548537244
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Entity Type | Individual
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Provider Name | KELLY WILSON APRN-CNM
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Gender | Female
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-4118
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 800-223-2273
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Fax |
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | GAACNM002777
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 225304
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 002327
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 1177442
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 11035437
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 391332
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 635320
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License Number State | NY
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