Individual
KELLI RAE MEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
H122741
IA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11019824
FL
363LF0000X
Family Nurse Practitioner
APRN11019824
FL
Other
Enumeration date
01/30/2015
Last updated
06/19/2023
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