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Contact Information

LATRECA M KELLEY, CMA/CNA
4438 E FALCON ST
WICHITA, KS67220-1776
 Phone: 316-347-6633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse's Aide

376K00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for LATRECA M KELLEY · (Female)

NPI Number 1174863898
Status Active
Credentials CMA/CNA
Entity Individual
Enumeration date 02/15/2013
Last updated 02/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 05352
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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