Kelly, Mary Margaret

Kelly, Mary Margaret is an individual health care provider with primary practice located at 1735 E Hwy 50 Ste B , Clermont FL 34711-5189. 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, Mary Margaret can be contacted via phone (352) 241-0549.

Contact Information

Primary practice address
1735 E Hwy 50 Ste B Clermont FL 34711-5189
Phone: (352) 241-0549
Fax: (352) 242-9325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP007814 Pennsylvania

Profile Details

NPI number 1902992498
LBN Legal business name Kelly, Mary Margaret
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 8th, 2022 - about 3 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 1902992498 NPPES
Pennsylvania Other KE1828981 BLUE SHIELD

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