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General NPI Number Information
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NPI Number | 1881080232
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Entity Type | Individual
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Provider Name | KELLY LELIA MCDONOUGH NP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 929 GESSNER RD
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City | HOUSTON
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State | TX
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Zip | 77024-2515
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Country | US
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Telephone | 713-242-3000
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Fax | 713-338-6466
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST
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City | ANN ARBOR
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State | MI
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Zip | 48108-1633
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Country | US
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Telephone | 734-647-5299
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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 | 4704431428
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | ARNP9173823
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN1195514
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 6597
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | ARNP9173823
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 6597
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 6597
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License Number State | MN
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