Individual
DR. KELLY HAMBROOK LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
(850) 436-2095
Mailing address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002324200
—
FL
Enumeration date
01/19/2010
Last updated
04/03/2014
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