Duerden, Kelly L

Duerden, Kelly L is an individual health care provider with primary practice located at 555 W State Road 434 , Longwood FL 32750-5119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Duerden, Kelly L can be contacted via phone (407) 767-1200.

Contact Information

Primary practice address
555 W State Road 434 Longwood FL 32750-5119
Phone: (407) 767-1200
Fax: (904) 346-0113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP7349 Florida

Profile Details

NPI number 1316045222
LBN Legal business name Duerden, Kelly L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 22nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316045222 NPPES
Florida Other 500020214 RAILROAD MEDICARE

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