| Kristin Lee Kelley, | |
|
3928 S Nova Rd, Port Orange, FL 32127-4911 | |
| (386) 822-9941 | |
| (386) 788-4519 |
| Full Name | Kristin Lee Kelley |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3928 S Nova Rd, Port Orange, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841955853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN5235826 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Lee Kelley, 3780 Clyde Morris Blvd Apt 603, Port Orange, FL 32129-8202 Ph: (303) 564-3629 | Kristin Lee Kelley, 3928 S Nova Rd, Port Orange, FL 32127-4911 Ph: (386) 822-9941 |
Ayrica Brown, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3928 S Nova Rd, Port Orange, FL 32127 Phone: 386-822-9941 | |
Jennifer Davies, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3928 S Nova Rd, Port Orange, FL 32127 Phone: 386-822-9941 |