| Doctor Name: | MRS. LORRAINE D KELWOOD |
| NPI Number: | 1053675934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FAMILY NURSE PRACTIT |
| License Number: | AP3988 |
| Business Practice Address: | Highway 163 Building Ka 2010 Kayenta Health Center Kayenta, AZ - 86033 |
| Business Phone Number: | 9286974000 |
| Business Fax Number: | |
| Mailing Address: | P O Box 370, 359a West Highway 264 ST. MICHAELS |
| State: | AZ |
| Postal Code: | 86511 |
| Phone Number: | 9288103800 |
| Fax Number: | 9288103811 |
| NPI Enumeration Date: | 06/26/2012 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |