Trent, Kelley A

Trent, Kelley A is an individual health care provider with primary practice located at 2161 Kingsley Ave Ste 200, Orange Park FL 32073-5113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Trent, Kelley A can be contacted via phone (904) 272-3139.

Contact Information

Primary practice address
2161 Kingsley Ave Ste 200 Orange Park FL 32073-5113
Fax: (904) 276-7374
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 61231 Florida

Profile Details

NPI number 1689661399
LBN Legal business name Trent, Kelley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 8th, 2007 - about 15 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 1689661399 NPPES
Florida Other 32426 BCBS

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