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General NPI Number Information
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NPI Number | 1649162959
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Entity Type | Individual
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Provider Name | KELLY LANDPHIER NP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5070 ASBURY RD STE B
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City | ASBURY
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State | IA
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Zip | 52002-2599
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Country | US
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Telephone | 563-207-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W CALHOUN ST
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City | CUBA CITY
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State | WI
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Zip | 53807-1101
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Country | US
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Telephone | 608-513-7993
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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 | A185743
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License Number State | IA
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