Individual
JUSTIN PATRICK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 747-6050
Mailing address
103 BID A WEE CT, PANAMA CITY BEACH, FL 32413-2784
(334) 354-5698
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9277209
FL
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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