Individual
DR. PATRICK KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3599 UNIVERSITY BLVD S, BLDG. 1200, JACKSONVILLE, FL 32216-4252
(904) 398-8005
(904) 398-2771
Mailing address
3599 UNIVERSITY BLVD S, BLDG. 1200, JACKSONVILLE, FL 32216-4252
(904) 398-8005
(904) 398-2771
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
ME 69167
FL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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