Individual
MRS. DEBORAH ANN KICLITER-KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1801 SE HILLMOOR DR, SUITE B109, PORT SAINT LUCIE, FL 34952-7553
(772) 337-9473
(772) 337-0796
Mailing address
1301 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4825
(772) 462-3800
(772) 462-3865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9198526
FL
363LF0000X
Family Nurse Practitioner
ARNP9198526
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9198526
FL
Other
Enumeration date
08/13/2008
Last updated
03/01/2025
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