Individual
KELLY J CRAGETT- KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3525 LAKLEAND HILLS BLVD, LAKELAND, FL 33805-1965
(863) 603-6565
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9212525
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9212525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108840200
—
FL
Enumeration date
03/30/2018
Last updated
01/21/2026
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