Individual provider · Type 1 NPI
Kely Duran de Momblack
Student in an Organized Health Care Education/Training Program · Ave Maria, FL
NPI number
1851204085
Active
Practice location
5337 Brin Way
Ave Maria, FL 34142-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1851204085
Kely Duran de Momblack's National Provider Identifier is 1851204085, issued on Sep 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ave Maria, FL. The record was last updated on Sep 28, 2026.