Provider Information for 1083294318
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KELLY J MURATORRI
Sex: Female
NPI: 1083294318
Last Updated: 2023-08-28
Certification Date: 2023-08-28
Certification Date: 2023-08-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1083294318 | ||||||||
| Enumeration Date | 2021-04-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 143 PEOSTA, IA 52068-0143 United States Phone: 563-661-5203 | Fax: | ||||||||
| Primary Practice Address | 8554 KAPP DR STE J PEOSTA, IA 52068-9719 United States Phone: 563-661-5203 | Fax: | ||||||||
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