Individual
CHARLIE N KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
70 DOCTORS DR, PANAMA CITY, FL 32405-4517
(850) 785-1517
Mailing address
70 DOCTORS DR, PANAMA CITY, FL 32405-4517
(850) 785-1517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9266192
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
9266192
FL
Other
Enumeration date
04/12/2013
Last updated
01/23/2019
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