Individual
MRS. KELLY C DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7108 QUAIL HOLLOW DR, PANAMA CITY BEACH, FL 32408-4984
(850) 740-8082
(850) 303-0994
Mailing address
PO BOX 27718, PANAMA CITY, FL 32411-7718
(850) 913-8313
(850) 249-7424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MH0003650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26786
BCBS
FL
01
—
593463899
TRICARE
FL
Enumeration date
12/14/2005
Last updated
06/27/2023
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