Tepedino, Kelly Diane

Tepedino, Kelly Diane is an sole proprietor health care provider with primary practice located at 1722 Sw Newland Way , Lake City FL 32025-6915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Tepedino, Kelly Diane can be contacted via phone (386) 344-6102.

Contact Information

Primary practice address
1722 Sw Newland Way Lake City FL 32025-6915
Phone: (386) 344-6102
Fax: (386) 344-6103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME122956 Florida

Profile Details

NPI number 1619237369
LBN Legal business name Tepedino, Kelly Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated Mar 7th, 2024 - about 2 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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