Kelly, Rita A.

Kelly, Rita A. is an individual health care provider with primary practice located at 708 Del Prado Blvd S Ste 6 , Cape Coral FL 33990-2661. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kelly, Rita A. can be contacted via phone (239) 424-2755.

Contact Information

Primary practice address
708 Del Prado Blvd S Ste 6 Cape Coral FL 33990-2661
Phone: (239) 424-2755
Fax: (239) 424-2756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X APRN11000309 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11000309 Florida

Profile Details

NPI number 1437497401
LBN Legal business name Kelly, Rita A.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Mar 31st, 2021 - 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 1437497401 NPPES
Florida MEDICAID 104321400

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