Kelley, Amy Sue

Kelley, Amy Sue is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kelley, Amy Sue can be contacted via phone (386) 943-4522.

Contact Information

Primary practice address
1055 Saxon Blvd Orange City FL 32763-8468
Phone: (386) 943-4522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME92613 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036177677 Illinois

Profile Details

NPI number 1033153069
LBN Legal business name Kelley, Amy Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 6th, 2026 - about 7 months 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 1033153069 NPPES
Florida Other 16102 BLUE CROSS
Florida MEDICAID 272046900 BLUE CROSS

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