Larry Wayne Kelly, PMHNP is a psychiatric/mental health nurse practitioner in Fairbanks, AK with 3 years of experience. Larry Wayne Kelly, PMHNP NPI is 1487319869. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1423 PEGER RD
FAIRBANKS, AK
ZIP 99709-169
Phone: (907) 371-1300
The NPI 1487319869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/1/2021.