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Individual
DR. KELLY A FONTANA
Active
Individual
DR. KELLY A FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98117
FL
208000000X
Pediatrics Physician
ME98117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277788600
—
FL
05
—
4603282
—
MI
01
—
AD185Y
MEDICARE PTAN
FL
Enumeration date
07/07/2005
Last updated
04/17/2026
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