Individual
DR. JASON STUART KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
(904) 261-6221
Mailing address
478 CROSSWIND DR, FERNANDINA BEACH, FL 32034-2778
(904) 261-6221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
252864
NY
207L00000X
Anesthesiology Physician
Primary
ME107561
FL
Other
Enumeration date
07/22/2009
Last updated
04/19/2013
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