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General NPI Number Information
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NPI Number | 1740586288
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Entity Type | Individual
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Provider Name | KELLIE KILPATRICK BATTILLO FNP-C, ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 61 MEMORIAL MEDICAL PKWY STE 3805
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City | PALM COAST
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State | FL
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Zip | 32164-5982
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Country | US
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Telephone | 386-586-1605
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Fax | 386-586-1607
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Provider Business Mailing Address
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Address Line | 76 S ST ANDREWS DR
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City | ORMOND BEACH
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State | FL
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Zip | 32174-3857
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Country | US
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Telephone | 321-662-6686
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9179951
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License Number State | FL
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