Individual
MR. DAVID KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 HASE RD, PENSACOLA, FL 32508-1051
(850) 436-4212
Mailing address
7474 DECK LN, PENSACOLA, FL 32526-8593
(850) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
EMT564404
FL
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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