Organization · Type 2 NPI
Kelly Clayton FNP Inc
Primary Care Clinic/Center · Shady Cove, OR
NPI number
1104089309
Active
Practice location
387 Pinetop Terrace
Shady Cove, OR 97539
Mailing address
PO Box 1
Shady Cove, OR 97539-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 200150078NP (OR) |
Primary Care Clinic/Center: Definition to come...
About NPI 1104089309
Kelly Clayton FNP Inc's National Provider Identifier is 1104089309, issued on Jul 8, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shady Cove, OR. The record was last updated on Jul 8, 2008.