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NPI Profile for KELLY J BISCOMBE in JACKSON, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1861922122 |
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| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/19/2017 | |
| Last updated | 01/23/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KELLY J BISCOMBE
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| JACKSON WHOLE FAMILY HEALTH, INC. 1110 MAPLE WAY JACKSON, WY |
| KIMBERLY A MELLICK, MSN, FNP-BC 1110 MAPLE WAY JACKSON, WY |
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| ANNA L ZOBELL, NP-C 3345 POTOMAC WAY IDAHO FALLS, ID |
KELLY J BISCOMBE, APRN