COREEN KELLY

DELAND, FL
NPI1790319994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  aprn11006345)
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
COREEN KELLY
701 W PLYMOUTH AVE
DELAND, FL 32720-3236
Phone number: 518-409-3502
Mailing Address
COREEN KELLY
1862 SILVER FERN RD
PORT ORANGE, FL 32128-6741
Phone number: 518-409-3502
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