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Individual

KELSEY SMALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2202 DUCK SLOUGH BLVD STE 102, NEW PORT RICHEY, FL 34655-5071
(727) 203-5073
Mailing address
7454 RIVERBANK DR, NEW PORT RICHEY, FL 34655-2634
(727) 207-3556

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9452892
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN11023055
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9452892
163W00000X
FL
Enumeration date
12/03/2020
Last updated
02/13/2024
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