Individual
MRS. KELLY ANN CALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(941) 725-2171
Mailing address
812 60TH ST NW, BRADENTON, FL 34209-1407
(941) 725-2171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9311654
FL
363LF0000X
Family Nurse Practitioner
9311654
FL
Other
Enumeration date
02/23/2018
Last updated
06/26/2020
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