Individual
MRS. KAREN GAIL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP/CPNP
Contact information
Practice address
1717 S ORANGE AVE STE 100, NEMOURS CHILDRENS CLINIC, ORLANDO, ORLANDO, FL 32806-2946
(407) 650-7000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 2518382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006515200
—
FL
Enumeration date
11/19/2010
Last updated
05/14/2015
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