Individual
MICALYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
109 OPP AVE, ANDALUSIA, AL 36420-3812
(850) 444-4700
(850) 444-7497
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-123835
AL
363L00000X
Nurse Practitioner
APRN11017793
FL
Other
Enumeration date
01/25/2022
Last updated
04/09/2025
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