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Individual
KELLIE SLIMICK
Active
Individual
KELLIE SLIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
ARNP9349470
FL
363L00000X
Nurse Practitioner
Primary
APRN9349470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024592400
—
FL
Enumeration date
06/07/2017
Last updated
05/30/2019
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