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NPI Profile for CHRISTIE KELLAR in PICAYUNE, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1184161457 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 01/25/2017 | |
| Last updated | 08/19/2025 - About 10 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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CHRISTIE KELLAR
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