Individual
MICHAEL L KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES VETERANS HOSPITAL, BAY PINES, FL 33504
(727) 398-6661
Mailing address
8742 52ND AVE E, BRADENTON, FL 34211-3726
(941) 755-5068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85850-2
FL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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