Vangilder, Kelly M.

Vangilder, Kelly M. is an individual health care provider with primary practice located at 345 Jupiter Lakes Blvd Ste 200, Jupiter FL 33458-7100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Vangilder, Kelly M. can be contacted via phone (561) 741-1957.

Contact Information

Primary practice address
345 Jupiter Lakes Blvd Ste 200 Jupiter FL 33458-7100
Fax: (561) 741-1893
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS07265 Florida

Profile Details

NPI number 1003815895
LBN Legal business name Vangilder, Kelly M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Sep 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003815895 NPPES
Florida MEDICAID 251951800
Florida Other P00192860

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