NPI 1669539094

Vivian A. Kelley, NP

Practitioner Chore Provider Fort Gordon, GA

Practice location

Address: 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Mailing address: 300 W. Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650

Registered specialties (2)

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence 1-050977 (AL)

Other Chore Provider providers in Georgia →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence RN159555 (GA)

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1669539094
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2007
Record last updated: 11 Sep 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.