Kristin Lee Kelley, is a
Licensed Practical Nurse based in Port Orange, Florida. Kristin Lee Kelley is licensed to practice in Florida (license number PN5235826) and her current practice location is
3928 S Nova Rd, Port Orange, Florida. She can be reached at her office (for appointments etc.) via phone at
(386) 822-9941.
NPI number for Kristin Lee Kelley is 1841955853 and her current mailing address is 3780 Clyde Morris Blvd Apt 603, Port Orange, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841955853.
Provider's Profile
Full Name | Kristin Lee Kelley |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3928 S Nova Rd, Port Orange, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841955853
- Provider Enumeration Date: 11/04/2021
- Last Update Date: 11/04/2021
Medical Identifiers
Medical identifiers for Kristin Lee Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841955853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN5235826 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Lee Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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