Individual
CORRINA KELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 505, DAYTONA BEACH, FL 32117-5170
(386) 231-3540
(386) 231-3544
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11035206
FL
Other
Enumeration date
09/10/2024
Last updated
11/11/2024
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