Individual
KELLY M ELLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8931 COLONIAL CENTER DR STE 301, FORT MYERS, FL 33905-7809
(239) 539-8815
(239) 277-0729
Mailing address
8931 COLONIAL CENTER DR STE 301, FORT MYERS, FL 33905-7809
(239) 728-1021
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME146912
FL
Other
Enumeration date
03/23/2015
Last updated
05/29/2024
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