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General NPI Number Information
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NPI Number | 1275271066
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Entity Type | Organization
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Legal Business Name | DOCTORS HOUSE CALL, PA
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 8941 E COUNTY ROAD 466
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City | THE VILLAGES
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State | FL
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Zip | 32162-3691
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Country | US
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Telephone | 352-835-0970
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Fax | 352-415-8767
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Provider Business Mailing Address
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Address Line | 295 E HWY 50 STE 5
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City | CLERMONT
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State | FL
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Zip | 34711-2576
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Country | US
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Telephone | 575-309-2559
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Fax | 888-803-4502
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH FARREL KELLY
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Credential | MD
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Telephone | 575-309-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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