Individual
MS. ABBY RAE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SHETTER AVE, JACKSONVILLE BEACH, FL 32250-4348
(904) 241-6767
(904) 241-7340
Mailing address
12311 KENSINGTON LAKES DR UNIT 805, JACKSONVILLE, FL 32246-7166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
05/28/2024
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