Individual
CORRINA O'BRIGHT-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 NW 89TH BLVD, GAINESVILLE, FL 32606-3813
(352) 265-5497
Mailing address
4101 NW 89TH BLVD, GAINESVILLE, FL 32606-3813
(352) 265-5497
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
RN9385596
FL
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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