Rauch, Kelly Lynn

Rauch, Kelly Lynn is an individual health care provider with primary practice located at 325 Clyde Morris Blvd Ste 400 , Ormond Beach FL 32174-8185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rauch, Kelly Lynn can be contacted via phone (386) 671-0600.

Contact Information

Primary practice address
325 Clyde Morris Blvd Ste 400 Ormond Beach FL 32174-8185
Phone: (386) 671-0600
Fax: (386) 677-9710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4811 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11036937 Florida

Profile Details

NPI number 1013256338
LBN Legal business name Rauch, Kelly Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2013
Last updated Feb 21st, 2025 - about last year

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 1013256338 NPPES
Arizona Other Z213215 MEDICAID
Arizona MEDICAID 787564 MEDICAID

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