Fontana, Kelly A

Fontana, Kelly A is an individual health care provider with primary practice located at 1585 Pine Ridge Rd Suite 2, Naples FL 34109-2105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fontana, Kelly A can be contacted via phone (239) 451-3143.

Contact Information

Primary practice address
1585 Pine Ridge Rd Suite 2 Naples FL 34109-2105
Phone: (239) 451-3143
Fax: (239) 451-3145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME98117 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98117 Florida

Profile Details

NPI number 1518965292
LBN Legal business name Fontana, Kelly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518965292 NPPES
Michigan MEDICAID 4603282
Michigan MEDICAID 277788600
Michigan Other AD185Y

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