Individual
KEVAN MICHAEL POLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1921 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4492
(850) 575-4998
Mailing address
1112 S MAGNOLIA DR APT K202, TALLAHASSEE, FL 32301-4681
(850) 450-9096
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
11003136
FL
Other
Enumeration date
11/11/2019
Last updated
06/29/2022
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