Most Relevant Information
Provider Data
NPI Number: | 1003197526 |
Provider Name: | KELLI JO DORSEY RN |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 099268 |
Most Important Dates
Enumeration Date: | 08/30/2011 |
Last Updated: | 08/30/2011 |
Provider Practice Location
235 S EISENHOWER AVE
MASON CITY
IA
504011562
Practice Location Phone/Fax
Phone: | 6414242075 |
Fax: | 6414249555 |
Provider Mailing Location
235 S EISENHOWER AVE
MASON CITY
IA
504011562
Provider Mailing Phone/Fax
Phone: | 6414242075 |
Fax: | 6414249555 |