Kelly, Coreen

Kelly, Coreen is an individual health care provider with primary practice located at 701 W Plymouth Ave , Deland FL 32720-3236. 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. Kelly, Coreen can be contacted via phone (518) 409-3502.

Contact Information

Primary practice address
701 W Plymouth Ave Deland FL 32720-3236
Phone: (518) 409-3502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11006345 Florida

Profile Details

NPI number 1790319994
LBN Legal business name Kelly, Coreen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2020
Last updated Feb 26th, 2020 - about 4 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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