Individual
MR. SEAN THOMAS KELLY
Active
Individual
MR. SEAN THOMAS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
APRN11011587
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
0024195677
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11011587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHT1
BCBS
FL
Enumeration date
02/24/2021
Last updated
02/04/2026
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