Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY E CHURCH in MEDFORD, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X |
| NPI Number | 1598309387 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/05/2019 | |
| Last updated | 07/02/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY E CHURCH
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KELLY E CHURCH, FNP