Individual
WADE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
(850) 872-7761
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405
(850) 522-4485
(850) 872-7761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9651076
FL
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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