Individual
KELLY POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 QUANTUM LAKES DR, SUITE 108, BOYNTON BEACH, FL 33426-8324
(561) 244-3627
(561) 244-9627
Mailing address
2500 QUANTUM LAKES DR, SUITE 108, BOYNTON BEACH, FL 33426-8324
(561) 244-3627
(561) 244-9627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP606867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP606867
ARNP
TX
Enumeration date
02/12/2007
Last updated
07/08/2007
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