Individual
RITA A. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
708 DEL PRADO BLVD S STE 6, CAPE CORAL, FL 33990-2661
(239) 424-2755
(239) 424-2756
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2755
(239) 424-2756
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11000309
FL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
APRN11000309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104321400
—
FL
Enumeration date
01/24/2013
Last updated
03/31/2021
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