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NPI Code Detail

MEDICARE: KIMBERLY DENISE KELSEY NURSE PRACTITIONER

MEDICARE: KIMBERLY DENISE KELSEY NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5012591NC
2363LF0000XFamily Nurse PractitionerAPRN11022550FL
3363LF0000XFamily Nurse Practitioner3018868KY
4363LF0000XFamily Nurse Practitioner0024185391VA
5363LF0000XFamily Nurse Practitioner27012SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201389OTHERNCRN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35012591OTHERNCCERTIFIED NURSE PRACTITIONER

General Provider Information

NPI Number : 1548807399
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DENISE KELSEY NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 3800 S OCEAN DR STE 209
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-2915
Country : US
Telephone Number : 305-466-9988
Fax Number : 305-466-9989
Provider Business Practice Location Address
First Line : 3800 S OCEAN DR STE 209
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-2915
Country : US
Telephone Number : 305-466-9988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 03/23/2026

Similar Medicare Providers

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Practice Location Address:
3800 S OCEAN DR STE 209
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Practice Fax:
1184640096 — MR. ARMANDO ERICH VELIZ PA
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1942478656 — MRS. ROSE CALI BRADWELL PA
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1528309325 — KATHY JONES DUNCAN ARNP
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33019-2915
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1538501978 — CAROL CHRISTINE JOHNSON FNP-BC
Practice Location Address:
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1821456161 — LAZARO PEDROL
Practice Location Address:
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Directions to “ KIMBERLY DENISE KELSEY NURSE PRACTITIONER” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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