Individual
KELLY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
400 CASCADE LN UNIT 407, REHOBOTH BEACH, DE 19971-6513
(215) 272-6824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
724428
NY
163W00000X
Registered Nurse
L1-0050018
DE
163W00000X
Registered Nurse
RN641352
PA
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
L1-0050018
DE
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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