IndividualActive
Ethel Kelley
NPI 1023712163 · Addiction (Substance Use Disorder) Registered Nurse · Lagrange, GA
Provider details
- NPI number
- 1023712163
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN3191402 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
229 S Davis Rd Ste 900
Lagrange, GA 30241-2609
Phone: (706) 756-1489
Approximate (ZIP-level) locationGet directions
Mailing address
229 S Davis Rd Ste 900
Lagrange, GA 30241-2609
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.