Individual
ANGELA MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 EAGLES NEST DR, FREEPORT, FL 32439-2392
(815) 347-3728
Mailing address
164 EAGLES NEST DR, FREEPORT, FL 32439-2392
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9497928
FL
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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