Individual
MR. KELVIN DUPERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
308 NW 5TH AVE, OKEECHOBEE, FL 34972-2568
(863) 261-8354
(863) 638-5637
Mailing address
308 NW 5TH AVE, OKEECHOBEE, FL 34972-2568
(863) 261-8354
(863) 638-5637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9413104
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11012550
FL
Other
Enumeration date
04/28/2021
Last updated
06/03/2022
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