Individual
DR. KELLEY A TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2161 KINGSLEY AVE, STE 200, ORANGE PARK, FL 32073-5113
(904) 272-3139
(904) 276-7374
Mailing address
9143 PHILIPS HWY, STE 560, JACKSONVILLE, FL 32256-1348
(904) 363-7453
(904) 538-3672
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 61231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32426
BCBS
FL
Enumeration date
09/29/2005
Last updated
07/08/2007
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