Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEY WISE
Active Sole ProprietorKELLEY WISE is a Family Medicine healthcare provider located in PALM COAST, Florida. NPI 1023656600 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PALM COAST, FL
Registration Details
- NPI Number
- 1023656600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2019 (6.6578784339903 yrs)
- Last Updated
- Feb 7, 2021
- License
-
APRN11004755 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 PINE CONE DR STE 102PALM COAST, FL, 321378683Browse FL providers · Browse ZIP 32137
- Phone
- 3864456191
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PALM COAST, FL
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY LEVENTHAL | M.D. | 1558364265 |
| MATTHEW DORMAN | MD | 1740284439 |
| GREGORIO ALFONSO CISNEROS | MD | 1801893854 |
| DR. VIJAY K JAIN | M.D. | 1902885551 |
| FLORENCE ROBERT FRUEHAN | DO | 1659342897 |
| DR. MARTHA ARGUELLO | MD | 1841261070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.