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:
Health care specialties
| Specialty | Code | License # | 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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