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Individual

MS. KELLY MARIE PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8985
(352) 392-4533
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8985

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9204955
FL
363LN0000X
Neonatal Nurse Practitioner
ARNP9204955
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000501800
FL
Enumeration date
08/24/2006
Last updated
02/11/2013
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