NPI 1114058468 · live from the CMS NPI Registry
Darlene C Kelly, ARNP
Nurse Practitioner, Pediatrics in Mcville, ND. National Provider Identifier 1114058468, active.
NPI record
| NPI | 1114058468 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 108 N Main Street, Mcville, ND 58254 |
| Practice phone | 701-322-4347 |
| Mailing address | 108 N Main Street, Po Box 307, Mcville, ND 58254 |
| Enumerated | March 8, 2007 |
| Last updated | October 19, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R17289 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.