Individual
MS. KELLY KAY KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9511 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5107
(407) 303-2528
Mailing address
9511 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5107
(407) 303-2528
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
9350771
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
9350771
FL
Other
Enumeration date
10/23/2012
Last updated
04/30/2026
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