Individual
RAYMOND KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1004
(352) 273-8610
Mailing address
3100 SPRING FOREST RD STE 130, 7TH FLOOR, RALEIGH, NC 27616-2880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
201702089
NC
207L00000X
Anesthesiology Physician
Primary
ME89036
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275245000
—
FL
Enumeration date
11/29/2005
Last updated
06/07/2023
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