Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethel Mae Kelley

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1023712163

Ethel Mae Kelley is an Addiction (Substance Use Disorder) Registered Nurse in Lagrange, Georgia. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

229 S Davis Rd Ste 900
Lagrange, GA 30241-2609
Phone: (706) 756-1489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence RN3191402 (FL)

Record details

NPI number1023712163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address229 S Davis Rd Ste 900, Lagrange, GA 30241-2609

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