Provider Demographics
NPI:1487164380
Name:HENDLEY, KELLI M (NP)
Entity type:Individual
Prefix:MISS
First Name:KELLI
Middle Name:M
Last Name:HENDLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 61356
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31420-1356
Mailing Address - Country:US
Mailing Address - Phone:912-348-9495
Mailing Address - Fax:912-348-9496
Practice Address - Street 1:8880 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4508
Practice Address - Country:US
Practice Address - Phone:912-713-1422
Practice Address - Fax:912-351-0589
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN165059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily