Guerrier, Marie Kettly

Guerrier, Marie Kettly is an individual health care provider with primary practice located at 3441 Se Willoughby Blvd , Stuart FL 34994-5060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Guerrier, Marie Kettly can be contacted via phone (772) 221-4030.

Contact Information

Primary practice address
3441 Se Willoughby Blvd Stuart FL 34994-5060
Fax: (772) 221-4041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME67145 Florida

Profile Details

NPI number 1508825779
LBN Legal business name Guerrier, Marie Kettly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 28th, 2007 - about 17 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 1508825779 NPPES
Florida Other 31628 BCBS PROVIDER #

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