Individual
KELLY L DUERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 767-1200
(904) 346-0113
Mailing address
PO BOX 628296, ORLANDO, FL 32862-8296
(407) 741-9418
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP7349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500020214
RAILROAD MEDICARE
FL
Enumeration date
09/21/2006
Last updated
03/22/2017
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