| NPI | 1437574753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J KELLY Nurse Practitioner 754-224-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3373872) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2015-04-12 |