Individual
KISHMA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2162 34TH ST S, ST PETERSBURG, FL 33711-3224
(727) 656-2127
Mailing address
1010 13TH AVE S, SAINT PETERSBURG, FL 33705-2317
(727) 276-3755
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN9705955
FL
164W00000X
Licensed Practical Nurse
Primary
PN5236058
FL
Other
Enumeration date
11/27/2023
Last updated
03/14/2026
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