Individual provider · Type 1 NPI

Kristin Lee Kelley

Licensed Practical Nurse · Port Orange, FL

NPI number 1841955853 Active

Practice location

3928 S Nova Rd
Port Orange, FL 32127-4911

Call (386) 822-9941 Map

Fax (386) 788-4519

Mailing address

3780 Clyde Morris Blvd Apt 603
Port Orange, FL 32129-8202

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN5235826 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

10 other providers at this address

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About NPI 1841955853

Kristin Lee Kelley's National Provider Identifier is 1841955853, issued on Nov 4, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Orange, FL. The record was last updated on Nov 4, 2021.