| Doctor Name: | MRS. DIANNA JEAN KELLEY |
| NPI Number: | 1306180617 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN BSN |
| License Number: | RN120024 |
| Business Practice Address: | 200 W Hospital Dr Whiteriver, AZ - 859410860 |
| Business Phone Number: | 9283384911 |
| Business Fax Number: | |
| Mailing Address: | Po Box 860, WHITERIVER |
| State: | AZ |
| Postal Code: | 859410860 |
| Phone Number: | 9283384911 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2012 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN120024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |