Kelly, Cynthia

Kelly, Cynthia is an sole proprietor health care provider with primary practice located at 11181 Health Park Blvd Suite 11181, Naples FL 34110-5738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kelly, Cynthia can be contacted via phone (239) 594-9075.

Contact Information

Primary practice address
11181 Health Park Blvd Suite 11181 Naples FL 34110-5738
Phone: (239) 594-9075
Fax: (239) 594-9263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 9101444 Florida

Profile Details

NPI number 1457383614
LBN Legal business name Kelly, Cynthia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Mar 6th, 2012 - about 14 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 1457383614 NPPES
Florida MEDICAID 290886700
Florida Other 970018589

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