Individual
JENNIFER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
2942 CARRIAGE DR, SOUTH DAYTONA, FL 32119-8505
(386) 295-6036
Mailing address
2942 CARRIAGE DR, SOUTH DAYTONA, FL 32119-8505
(386) 295-6036
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
14130
FL
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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