Individual
ALLY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
185 SW 7TH ST APT 3711, MIAMI, FL 33130-2985
(561) 558-3391
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9604596
FL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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