Individual
KRISTEN L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6982 PINE FOREST RD, PENSACOLA, FL 32526-8909
(850) 750-5203
Mailing address
9835 CHUMUCKLA SPRINGS RD, JAY, FL 32565-9385
(850) 454-5349
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28844
FL
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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