Individual
KELLY JEAN HAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST, SUITE 802, SARASOTA, FL 34239-2943
(941) 917-7888
(941) 917-6314
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME98993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02505
BLUE CROSS BLUE SHIELD
FL
05
—
278963900
—
FL
Enumeration date
06/13/2007
Last updated
03/24/2016
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