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Individual

KELLY LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Mailing address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9388691
FL
363L00000X
Nurse Practitioner
F10170148
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9388691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023529200
FL
Enumeration date
12/14/2017
Last updated
03/17/2018
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