Individual
GURJIT KAELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP RHEUMATOLOGY DEPT., JACKSONVILLE, FL 32209-6511
(904) 244-3273
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
MD00035978
WA
207RR0500X
Rheumatology Physician
Primary
ME101990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005687-00
—
FL
01
—
0209656
STATE L&I
WA
01
—
0209658
STATE L&I
WA
05
—
1116128
—
WA
01
—
8942004
STATE CRIME VICTIMS
WA
01
—
G8941604
STATE CRIME VICTIMS
WA
Enumeration date
05/03/2006
Last updated
11/06/2009
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