Individual
KELSEY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6088
(904) 639-2015
Mailing address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6088
(904) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME169000
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2021
Last updated
09/24/2024
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