Individual
MR. JOSHUA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
Mailing address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006363
GA
367H00000X
Anesthesiologist Assistant
Primary
AA 317
FL
Other
Enumeration date
02/09/2012
Last updated
04/16/2016
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