Individual
KELLEY BROWN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 SE 1ST AVE, OCALA, FL 34471-2161
(352) 877-9779
Mailing address
217 SE 1ST AVE, OCALA, FL 34471-2161
(352) 877-9779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN1242581
FL
251E00000X
Home Health Agency
Primary
568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
568
HOME HEALTH AGENCY EXEMPTION LICENSE
FL
Enumeration date
08/22/2022
Last updated
08/22/2022
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