Organization
KELLY L DUNN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L DUNN M.D. (OWNER)
(321) 725-0554
Entity
Organization
Contact information
Practice address
1696 W HIBISCUS BLVD STE A, MELBOURNE, FL 32901-2638
(321) 725-0554
Mailing address
1696 W HIBISCUS BLVD STE A, MELBOURNE, FL 32901-2638
(321) 725-0554
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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