Individual
CORI DEVON KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, WHNP-BC
Contact information
Practice address
1223 GATEWAY DR, SUITE 1D, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 729-6166
Mailing address
1223 GATEWAY DR, SUITE 1D, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP9276319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012030200
—
FL
Enumeration date
03/04/2014
Last updated
08/06/2015
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