Kelly, Kerry Kathleen

Kelly, Kerry Kathleen is an sole proprietor health care provider with primary practice located at 6261 Nw 6Th Way Suite 110, Fort Lauderdale FL 33309-6103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Kerry Kathleen can be contacted via phone (954) 634-6400.

Contact Information

Primary practice address
6261 Nw 6Th Way Suite 110 Fort Lauderdale FL 33309-6103
Fax: (954) 634-6444
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3097652 Florida

Profile Details

NPI number 1124262340
LBN Legal business name Kelly, Kerry Kathleen
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2009
Last updated May 1st, 2009 - about 16 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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