Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY GENDALL, MD
ActiveKELLY GENDALL, MD is a General Practice healthcare provider located in NEPTUNE BEACH, Florida. NPI 1942418579 is currently active in the NPPES registry. Verify at CMS.
General Practice · NEPTUNE BEACH, FL
Registration Details
- NPI Number
- 1942418579
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2007 (19.239960740359 yrs)
- Last Updated
- Aug 30, 2024
- Licenses
-
ME132441 (FL)ME132441 (FL)
Practice Information
- Address
-
410 ATLANTIC BLVDNEPTUNE BEACH, FL, 322664022Browse FL providers · Browse ZIP 32266
- Phone
- 6102172625
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
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.