Individual
KELLEY HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
551 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1495
(386) 323-7500
Mailing address
30 WOODSTONE LN, PALM COAST, FL 32164-7903
(386) 323-7500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3177562
FL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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