Individual
KELLYN ELIZABETH RANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-RN
Contact information
Practice address
5571 E SR 44, WILDWOOD, FL 34785-8282
(352) 643-9080
(352) 571-6786
Mailing address
15863 BURCH ISLAND CT, WINTER GARDEN, FL 34787-9469
(717) 994-2245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11010839
FL
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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