Individual
KELLY ROSE GRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3466 PINE RIDGE RD STE A, NAPLES, FL 34109-3883
(239) 261-2663
(239) 262-5633
Mailing address
3466 PINE RIDGE RD STE A, NAPLES, FL 34109-3883
(239) 261-2663
(239) 262-5633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9113499
FL
Other
Enumeration date
11/23/2020
Last updated
08/30/2023
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