Kelly, Angela

Kelly, Angela is an sole proprietor health care provider with primary practice located at 720 Valley Forge Rd , Jacksonville FL 32208-3566. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Kelly, Angela can be contacted via phone (904) 405-9681.

Contact Information

Primary practice address
720 Valley Forge Rd Jacksonville FL 32208-3566
Phone: (904) 405-9681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6906432 Florida

Profile Details

NPI number 1992115547
LBN Legal business name Kelly, Angela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2014
Last updated May 5th, 2014 - about 10 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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