Most Relevant Information
Provider Data
| NPI Number: | 1003284449 |
| Provider Name: | KELLI ECCLES APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 364SE0003X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 76903 |
Most Important Dates
| Enumeration Date: | 09/02/2015 |
| Last Updated: | 08/18/2021 |
Provider Practice Location
2051 N STATE ST
IOLA
KS
667491677
Practice Location Phone/Fax
| Phone: | 6203806600 |
| Fax: | 6203806215 |
Provider Mailing Location
3011 N MICHIGAN ST
PITTSBURG
KS
667622546
Provider Mailing Phone/Fax
| Phone: | 6202319873 |
| Fax: | 6202312808 |