Individual
KELLEY CLARK-SEGOVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1900 SW 20TH PL, OCALA, FL 34471-7870
(352) 840-5437
(352) 237-1094
Mailing address
1900 SW 20TH PL, OCALA, FL 34471-7870
(352) 840-5437
(352) 237-1094
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9217063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102036400
—
FL
Enumeration date
02/06/2019
Last updated
04/01/2019
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