Whalio Doctors

NPI 1174863898

Latreca Marie Kelley, CMACNA

Practitioner Nurse's Aide Wichita, KS

Practice location

Address
4438 E Falcon St, Wichita, KS 67220-1776
Phone
(316) 347-6633
Mailing address
PO Box 20803, Wichita, KS 67208-6803

Registered specialties (2)

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 05352 (KS)
Home Health Aide
Nursing Service Related Providers Taxonomy 374U00000X

Registry record

NPI
1174863898
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Feb 2013
Record last updated
15 Feb 2013

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.