Individual
KELLY CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 S FLORIDA AVE, SUITE 6, LAKELAND, FL 33801-5237
(863) 688-0841
(863) 616-9709
Mailing address
601 S FLORIDA AVE, #6, LAKELAND, FL 33801-5237
(863) 688-0841
(863) 616-9709
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9170779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305346600
—
FL
01
—
ARNP 9170779
ARNP LICENSE NUMBER
FL
Enumeration date
08/01/2006
Last updated
11/05/2015
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