| David, Kelly | |
|
7108 Quail Hollow Dr Panama City Beach FL 32408-4984 | |
| (850) 740-8082 | |
| (850) 303-0994 |
| Full Name | David, Kelly |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7108 Quail Hollow Dr, Panama City Beach, Florida |
| Authorized Official Name and Position | Kelly Cartwright David (OWNER) |
| Authorized Official Contact | 8507408082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David, Kelly Po Box 27718 Panama City FL 32411-7718 Ph: (850) 249-7400 | David, Kelly 7108 Quail Hollow Dr Panama City Beach FL 32408-4984 Ph: (850) 740-8082 |
| NPI Number | 1144842527 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144842527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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