Individual
MRS. NANCY BETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1015 40TH AVE, VERO BEACH, FL 32960-4069
(772) 569-1306
Mailing address
1015 40TH AVE, VERO BEACH, FL 32960-4069
(772) 569-1306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
704561
FL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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