NPI 1063373074

Misty Rose Kelley

Practitioner Licensed Practical Nurse Salem, VA

Practice location

Address: 1970 Roanoke Blvd, Salem, VA 24153-6404
Phone: (540) 982-2463

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002087474 (VA)

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Registry record

NPI: 1063373074
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2025
Record last updated: 19 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.