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Individual
MARCELLA KELLY
Active
Individual
MARCELLA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP019663
PA
363LF0000X
Family Nurse Practitioner
Primary
APRN11008210
FL
363LF0000X
Family Nurse Practitioner
APRNS1068210
FL
Other
Enumeration date
12/14/2018
Last updated
03/21/2025
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