Wise, Kelley
Wise, Kelley is an sole proprietor health care provider with primary practice located at 9 Pine Cone Dr Ste 102 , Palm Coast FL 32137-8683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wise, Kelley can be contacted via phone (386) 445-6191.Contact Information
Primary practice address
9 Pine Cone Dr Ste 102
Palm Coast FL 32137-8683
Phone: (386) 445-6191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | APRN11004755 | Florida |
Profile Details
| NPI number | 1023656600 |
|---|---|
| LBN Legal business name | Wise, Kelley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2019 |
| Last updated | Feb 7th, 2021 - about 5 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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