Kelly Clayton Fnp INC

NPI #1104089309 in Shady Cove, Oregon

Provider Information

NPI Number: 1104089309
Entity Type: Organization
Organization Name: Kelly Clayton Fnp INC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jul 8, 2008
Last Updated: Jul 8, 2008

Practice Location

Address: 387 PINETOP TERRACE
City: Shady Cove
State: Oregon
ZIP Code: 97539
Phone: (541) 878-3537

Authorized Official

Name: KELLY MARIE CLAYTON, FNP
Title: PRESIDENT
Phone: (541) 878-3537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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