Organization
ROBERT C KELSEY MD PA
Active
Organization
ROBERT C KELSEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C KELSEY MD (OWNER)
(904) 827-0078
Entity
Organization
Contact information
Practice address
201 HEALTH PARK BLVD, SUITE 107, ST AUGUSTINE, FL 32086-5796
(904) 827-0078
(904) 827-0078
Mailing address
PO BOX 3350, ST AUGUSTINE, FL 32085-3350
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC2506
RIALROAD MEDICARE
FL
Enumeration date
10/03/2006
Last updated
12/21/2007
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