Individual
KELLY BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12170 SEMINOLE BLVD, LARGO, FL 33778-2833
(727) 586-5355
(727) 526-4346
Mailing address
4278 28TH ST N, ST PETERSBURG, FL 33714-3922
(727) 526-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9171603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003097100
—
FL
Enumeration date
01/24/2011
Last updated
09/07/2011
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