Individual
KELLY NICOLE RAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3817 FLAGLER AVE, KEY WEST, FL 33040-4530
(305) 509-7369
Mailing address
3817 FLAGLER AVE, KEY WEST, FL 33040-4530
(305) 509-7369
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5189010
FL
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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