Individual
MRS. KELLY KATHLEEN NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 EICHENFELD DR, BRANDON, FL 33511-5908
(813) 767-9142
Mailing address
635 EICHENFELD DR, BRANDON, FL 33511-5908
(813) 684-6000
(813) 685-1131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9253210
FL
Other
Enumeration date
03/10/2015
Last updated
04/23/2018
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