Individual
KELLY J HERRBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1706 WILL LN, THE VILLAGES, FL 34762-6567
(229) 894-4708
Mailing address
1706 WILL LN, THE VILLAGES, FL 34762-6567
(229) 894-4708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9492852
FL
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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