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NPI Profile for SAMANTHA KELLEY in MUSCLE SHOALS, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1073283883 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 09/14/2021 | |
| Last updated | 09/14/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SAMANTHA KELLEY
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SAMANTHA KELLEY, RN