Kellner, Cori Devon

Kellner, Cori Devon is an individual health care provider with primary practice located at 1223 Gateway Dr Suite 1D, Melbourne FL 32901-2607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kellner, Cori Devon can be contacted via phone (321) 725-4500.

Contact Information

Primary practice address
1223 Gateway Dr Suite 1D Melbourne FL 32901-2607
Phone: (321) 725-4500
Fax: (321) 729-6166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9276319 Florida

Profile Details

NPI number 1376968032
LBN Legal business name Kellner, Cori Devon
Credentials ARNP, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2014
Last updated Aug 6th, 2015 - about 9 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 1376968032 NPPES
Florida MEDICAID 012030200

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