Individual
KELSEY MARIE EVELYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
14500 SW 88TH AVE APT 217, PALMETTO BAY, FL 33176-8006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9617179
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11044611
FL
Other
Enumeration date
09/06/2025
Last updated
03/04/2026
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