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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE MARY DAVIS

Active

KELLIE MARY DAVIS is a General Practice Nurse healthcare provider located in LAKE WORTH, Florida. NPI 1528654100 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · LAKE WORTH, FL

Registration Details

NPI Number
1528654100
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2020 (5.6807510486461 yrs)
Last Updated
Dec 17, 2020
License
3252282 (FL)

Practice Information

Address
9254 EMILY CIR
LAKE WORTH, FL, 334673600
Browse FL providers · Browse ZIP 33467
Phone
5613091631
Primary Specialty
General Practice Nurse
163WG0000X
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.