Individual
DIANE J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 729-6166
(321) 952-9406
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 729-6166
(321) 952-9406
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME47018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042339400
—
FL
01
—
160045705
RR MEDICARE
FL
Enumeration date
11/02/2005
Last updated
04/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us