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General NPI Number Information
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NPI Number | 1639343742
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Entity Type | Individual
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Provider Name | KIMBERLY K. KELCH ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 10050 W BELL RD STE 35
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City | SUN CITY
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State | AZ
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Zip | 85351-1290
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Country | US
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Telephone | 623-281-1130
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Fax | 480-906-2179
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN13358
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP9319197
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP4061
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License Number State | AZ
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