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Contact Information

CHARLOTTE KELLEY & ASSOCIATES PC
2600 GRAND AVE
SUITE 125
DES MOINES, IA50312-5375
 Phone: 515-277-3400
 Fax: 515-277-9036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHARLOTTE KELLEY ASSOCIATES PC · (Female)

NPI # 1104870674
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2006
Last updated 01/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # J059522
  • IA Medicaid 0420489
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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