Individual
MRS. KELLY WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22395 EDGEWATER DR, PORT CHARLOTTE, FL 33980-2012
(941) 766-7222
Mailing address
1490 UMBER CT, PUNTA GORDA, FL 33983-6072
(941) 766-7222
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
RN9200209
FL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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