Individual
EMILY FELL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME155159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114821900
—
FL
01
—
PJ591
MEDICARE HF
FL
Enumeration date
02/24/2017
Last updated
08/26/2022
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