Individual
ROBERT C KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 US HIGHWAY 1 S, STE B, ST AUGUSTINE, FL 32086-6301
(904) 827-0078
(904) 827-0140
Mailing address
2720 US HIGHWAY 1 S, STE B, ST AUGUSTINE, FL 32086-6301
(904) 827-0078
(904) 827-0140
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME58662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377818500
—
FL
01
—
P00157250
RAILROAD MEDICARE
FL
Enumeration date
10/03/2006
Last updated
04/11/2014
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