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Individual
KELLY MARIE O'BRIEN
Active
Individual
KELLY MARIE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN9196840
FL
363L00000X
Nurse Practitioner
Primary
APRN11011201
FL
363LF0000X
Family Nurse Practitioner
11011201
FL
Other
Enumeration date
12/17/2020
Last updated
04/18/2022
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