Individual provider · Type 1 NPI
Kelly Diane McCarley
Gerontology Nurse Practitioner · Blakely, GA
NPI number
1649753773
Active
Practice location
1908 Tarver Dr
Blakely, GA 39823-1540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN219753 (GA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1649753773
Kelly Diane McCarley's National Provider Identifier is 1649753773, issued on Sep 14, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Blakely, GA. The record was last updated on Sep 14, 2018.