| Kelly L Dunn Md Pa | |
|
1696 W Hibiscus Blvd Ste A Melbourne FL 32901-2638 | |
| (321) 725-0554 | |
| Not Available |
| Full Name | Kelly L Dunn Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1696 W Hibiscus Blvd Ste A, Melbourne, Florida |
| Authorized Official Name and Position | Kelly L Dunn (OWNER) |
| Authorized Official Contact | 3217250554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly L Dunn Md Pa 1696 W Hibiscus Blvd Ste A Melbourne FL 32901-2638 Ph: (321) 725-0554 | Kelly L Dunn Md Pa 1696 W Hibiscus Blvd Ste A Melbourne FL 32901-2638 Ph: (321) 725-0554 |
| NPI Number | 1295044873 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 9335334507 |
|---|---|
| Medicare Enrollment ID | O20101112001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295044873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kelly L Dunn |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1093776072 PECOS PAC ID: 4385839562 Enrollment ID: I20101112001125 |
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