Individual provider · Type 1 NPI

Vivian A. Kelley, NP

Chore Provider · Fort Gordon, GA

NPI number 1669539094 Active

Practice location

300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30905-5650

Call (706) 787-2720 Map

Fax (706) 787-8176

Mailing address

300 W. Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30905-5650

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	RN159555 (GA)
Chore Provider Primary	372500000X	1-050977 (AL)

Chore Provider: An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

24 other providers at this address

About NPI 1669539094

Vivian A. Kelley, NP's National Provider Identifier is 1669539094, issued on Jan 3, 2007. The primary taxonomy on file is Chore Provider (372500000X), and the practice location is in Fort Gordon, GA. The record was last updated on Sep 11, 2025.