KELLYE LYNNE PENDERGRASS

PENSACOLA, FL
NPI1992776256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  1804142)
Enumeration Date2006-01-26
Last Update Date2007-07-08
Business Address
Miss KELLYE LYNNE PENDERGRASS ARNP
6000 W HIGHWAY 98
PENSACOLA, FL 32512-0001
Phone number: 850-505-6199
Mailing Address
Miss KELLYE LYNNE PENDERGRASS ARNP
5660 RAUGHTON RD
MILTON, FL 32583-9159
Phone number: 850-623-1008