IndividualActive
Vivian Kelley, NP
NPI 1669539094 · Chore Provider · Fort Gordon, GA
Provider details
- NPI number
- 1669539094
- Entity type
- Individual
- Primary specialty
- Chore ProviderNursing Service Related Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- RN159555 (GA)
Specialties & taxonomies
Nursing Service Related Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 W Hospital Road
Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Approximate (ZIP-level) locationGet directions
Mailing address
300 W. Hospital Road
Fort Gordon, GA 30905-5650
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.