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Individual

KELSEY ABIGAIL GEMMILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5800
Mailing address
10640 SATORI LN APT 380, JACKSONVILLE, FL 32256-8095

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9501
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VSYBD
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/20/2021
Last updated
01/23/2024
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