STACIE I KELLY

ADVENTHEALTH RANSOM MEMORIAL INC

Dr STACIE I KELLY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

ADVENTHEALTH RANSOM MEMORIAL INC

1301 S MAIN ST
ADVENTHEALTH MEDICAL GROUP
OTTAWA
KS
660673537

Tel: 7852293367

STACIE I KELLY Information

Npi 1326449687
Pac Id 1254553373
Professional Enrollment Id I20141105001004
Last Name KELLY
First Name STACIE
Middle Name I
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVENTHEALTH RANSOM MEMORIAL INC
Group Practice Pac Id 4486996907
Number Of Group Practice Members 17
Line 1 Street Address 1301 S MAIN ST
Line 2 Street Address ADVENTHEALTH MEDICAL GROUP
Marker Of Address Line 2 Suppression
City OTTAWA
State KS
Zip Code 660673537
Phone Number 7852293367
Hospital Affiliation Ccn 1 170014
Hospital Affiliation Lbn 1 RANSOM MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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