Individual provider · Type 1 NPI

Kelly Marie Dalton, AGACNP-BC

Gerontology Nurse Practitioner · Springfield, MO

NPI number 1770119372 Active

Practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2020009164 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1770119372

Kelly Marie Dalton, AGACNP-BC's National Provider Identifier is 1770119372, issued on Mar 16, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Springfield, MO. The record was last updated on Jan 10, 2023.