Kevitt, Kelly

Kevitt, Kelly is an individual health care provider with primary practice located at 701 E Sr 50 , Clermont FL 34711-3165. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kevitt, Kelly can be contacted via phone (352) 242-9023.

Contact Information

Primary practice address
701 E Sr 50 Clermont FL 34711-3165
Phone: (352) 242-9023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9178446 Florida

Profile Details

NPI number 1740207497
LBN Legal business name Kevitt, Kelly
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740207497 NPPES
Florida Other 2007009890 AMERICAN NURSES CREDENTIALING CENTER
Florida MEDICAID 3080927-00 AMERICAN NURSES CREDENTIALING CENTER

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