Romanelly, Kelly J.
Romanelly, Kelly J. is an individual health care provider with primary practice located at 293 Nw Peacock Blvd , Port St Lucie FL 34986-2222. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Romanelly, Kelly J. can be contacted via phone (772) 336-6601.Contact Information
Primary practice address
293 Nw Peacock Blvd
Port St Lucie FL 34986-2222
Phone: (772) 336-6601
Fax: (772) 446-7681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0991657-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 139323 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002642A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9302217 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 11019552 | Florida |
Profile Details
| NPI number | 1639328537 |
|---|---|
| LBN Legal business name | Romanelly, Kelly J. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2008 |
| Last updated | Jun 17th, 2024 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639328537 | NPPES |
| Florida | MEDICAID | 001888500 | |
| Florida | MEDICAID | 57983216 | |
| Florida | Other | CV34Z | |
| Florida | Other | Y03K0 |
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