Individual
KELSEY WEHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
(352) 265-0627
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 265-0301
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS15207
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OS19147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024891300
—
FL
Enumeration date
07/01/2015
Last updated
02/07/2023
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