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Individual

JULIE KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3153 CANADA CT, LAKE WORTH, FL 33461-5517
(561) 252-9206
Mailing address
6346 PRESTWICK CT, LAKE WORTH, FL 33467-7100
(561) 252-9206

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2623582
FL

Other

Enumeration date
11/05/2013
Last updated
11/05/2013
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