Individual
MS. KELLY PARTAIN GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2937712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003885000
—
FL
01
—
ARNP2937712
MEDICAL LICENSE
FL
Enumeration date
09/21/2005
Last updated
04/24/2025
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