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Individual

MS. KELLI L HARKER

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) 265-0665
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1182372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006616800
FL
Enumeration date
07/07/2006
Last updated
10/15/2012
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