Kelly, David K

Kelly, David K is an individual health care provider with primary practice located at 401 Palmetto St , New Smyrna Beach FL 32168-7322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kelly, David K can be contacted via phone (407) 667-0444.

Contact Information

Primary practice address
401 Palmetto St New Smyrna Beach FL 32168-7322
Phone: (407) 667-0444
Fax: (407) 667-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2572842 Florida

Profile Details

NPI number 1396736328
LBN Legal business name Kelly, David K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 18 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 1396736328 NPPES
Florida Other G2004Y BCBS

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