Individual
MARGARET MARY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13800 66TH ST, LARGO, FL 33771
(727) 507-4203
(727) 544-4015
Mailing address
6150 150TH AVE, CLEARWATER, FL 33706
(727) 507-4673
(727) 507-4799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP888372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303106300
—
FL
Enumeration date
04/24/2007
Last updated
06/17/2015
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