Individual
DANIEL WILLIAM KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 S PENINSULA DR, DAYTONA BEACH, FL 32118-4422
(386) 310-2160
(386) 310-2106
Mailing address
2549 MAITLAND CROSSING WAY APT 11308, ORLANDO, FL 32810-7111
(407) 782-5300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120753
FL
Other
Enumeration date
07/10/2025
Last updated
09/23/2025
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