KELLY FULLER

MELBOURNE, FL
NPI1144793407
Former NameKELLY KLINGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  APRN11000259)
Additional Taxonomies364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: FL  APRN11000259)
Enumeration Date2019-01-09
Last Update Date2024-02-28
Business Address
KELLY FULLER APRN
400 E SHERIDAN RD
MELBOURNE, FL 32901-3184
Phone number: 321-722-5200
Mailing Address
KELLY FULLER APRN
400 E SHERIDAN RD
MELBOURNE, FL 32901-3184
Phone number: 321-722-5200