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NPI Code Detail

MEDICARE: HAILEY KELLY APRN

MEDICARE: HAILEY KELLY APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse144340KS
2363L00000XNurse Practitioner53-82923KS

General Provider Information

NPI Number : 1114788361
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY KELLY APRN
Provider Business Mailing Address
First Line : 2902 SW ASBURY DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-4466
Country : US
Telephone Number : 785-354-9591
Fax Number :
Provider Business Practice Location Address
First Line : 2902 SW ASBURY DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-4466
Country : US
Telephone Number : 785-354-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/19/2026

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Directions to “ HAILEY KELLY APRN” Practice Location

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