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Individual

KELLY JANE RIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3487 BROADWAY, FORT MYERS, FL 33901-7213
(239) 334-9555
(239) 334-2832
Mailing address
3487 BROADWAY, FORT MYERS, FL 33901-7213
(239) 334-9555
(239) 334-2832

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9226866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012123700
FL
Enumeration date
09/16/2007
Last updated
01/11/2023
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