Individual
ALEXIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1201 12TH AVE S, LAKE WORTH, FL 33460-5409
(561) 586-7404
Mailing address
3010 NW 53RD TER, MARGATE, FL 33063-1503
(954) 993-1665
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11032303
FL
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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