Kristin Lee Kelley, | |
3928 S Nova Rd, Port Orange, FL 32127-4911 | |
(386) 822-9941 | |
(386) 788-4519 |
Full Name | Kristin Lee Kelley |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 3928 S Nova Rd, Port Orange, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841955853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN5235826 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kristin Lee Kelley, 3780 Clyde Morris Blvd Apt 603, Port Orange, FL 32129-8202 Ph: (303) 564-3629 | Kristin Lee Kelley, 3928 S Nova Rd, Port Orange, FL 32127-4911 Ph: (386) 822-9941 |
Ayrica Brown, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3928 S Nova Rd, Port Orange, FL 32127 Phone: 386-822-9941 | |
Jennifer Davies, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3928 S Nova Rd, Port Orange, FL 32127 Phone: 386-822-9941 |