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NPI Lookup from the NPI Registry — National Provider Identifier Database

MELISSA D KELLY, ARNP – NPI #1629180849
Pediatrics


Contact Information

MELISSA D KELLY, ARNP
2523 DORA AVE
TAVARES, FL32778-4977
 Phone: 352-508-5176
 Fax: 352-508-5179
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Pediatrics

163WP0200X
Indicates primary specialty
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NPI Information for MELISSA D KELLY · (Female)

NPI Number 1629180849
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/01/2006
Last updated 07/19/2011 - About 3 years ago
Sole proprietor 1 No
Identifiers
FL License # ARNP9169528
FL Medicaid 307942200
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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