Marchewka, Kelli Jean

Marchewka, Kelli Jean is an individual health care provider with primary practice located at 598 Sterthaus Dr , Ormond Beach FL 32174-5128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Marchewka, Kelli Jean can be contacted via phone (386) 256-2565.

Contact Information

Primary practice address
598 Sterthaus Dr Ormond Beach FL 32174-5128
Phone: (386) 256-2565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110887 Florida

Profile Details

NPI number 1437663366
LBN Legal business name Marchewka, Kelli Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2017
Last updated Nov 30th, 2017 - about 9 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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