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1992120141
KELLY LEEDY JENNINGS
DAYTONA BEACH, FL
NPI
1992120141
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Former Name
KELLY NICHOLS LEEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: DE LG-0000737)
Enumeration Date
2014-02-25
Last Update Date
2019-07-10
Business Address
KELLY LEEDY JENNINGS NP-C
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2709
Phone number: 386-425-4000
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Mailing Address
KELLY LEEDY JENNINGS NP-C
701 N CLAYTON ST
WILMINGTON, DE 19805-3165
Phone number: 302-421-4334
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