Individual
MR. KENLEY PIERRE-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 392-4321
Mailing address
PO BOX 100222, GAINESVILLE, FL 32610-0222
(352) 392-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9253348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007210500
—
FL
Enumeration date
06/26/2012
Last updated
10/24/2022
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