Provider Demographics
NPI:1437327269
Name:KELL, NANCY JEAN (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:KELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 NE 39TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66617-2407
Mailing Address - Country:US
Mailing Address - Phone:785-286-2435
Mailing Address - Fax:
Practice Address - Street 1:1545 NE 39TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66617-2407
Practice Address - Country:US
Practice Address - Phone:785-286-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-52988-071163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health