Gassie, Kelly

Gassie, Kelly is an individual health care provider with primary practice located at 1251 Hickory St , Melbourne FL 32901-3221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Gassie, Kelly can be contacted via phone (321) 434-3420.

Contact Information

Primary practice address
1251 Hickory St Melbourne FL 32901-3221
Fax: (321) 434-3423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME129537 Florida

Profile Details

NPI number 1962899351
LBN Legal business name Gassie, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2015
Last updated Sep 12th, 2023 - about 3 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 1962899351 NPPES
Florida MEDICAID 118717900
Florida Other Q6862
Florida Other Q6861

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