Kelly, Eileen

Kelly, Eileen is an sole proprietor health care provider with primary practice located at 1403 Medical Plaza Dr Suite 202, Sanford FL 32771-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kelly, Eileen can be contacted via phone (407) 322-3096.

Contact Information

Primary practice address
1403 Medical Plaza Dr Suite 202 Sanford FL 32771-1000
Phone: (407) 322-3096
Fax: (407) 321-5655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP2778312 Florida

Profile Details

NPI number 1285729442
LBN Legal business name Kelly, Eileen
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
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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