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KELLY WYNN NEIHEISER RN

Obstetric, Inpatient >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1174747802

Individual Registrant:
 KELLY WYNN NEIHEISER RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1296 AVGIK STREET  BARROW, AK 99723-1496 US
Tel: 907-852-9321  Fax: --

Contact information for business:
PO BOX 1496  BARROW, AK 99723-1496 US
Tel: 907-852-9321  Fax: --

Registration Information:
NPI: 1174747802
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WX0003XNursing Service Providers
Registered Nurse
Obstetric, Inpatient
AK24374

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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