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KELLY A DOGGETT ARNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1669818175
Individual Registrant: KELLY A DOGGETT ARNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
126 S COUNTY ROAD 315 INTERLACHEN, FL 32148-5418 US
Tel: 386-684-4685 Fax: --
Tel: 386-684-4685 Fax: --
Contact information for business:
126 S COUNTY ROAD 315 INTERLACHEN, FL 32148-5418 US
Tel: 386-684-4685 Fax: --
Tel: 386-684-4685 Fax: --
Registration Information:
NPI: 1669818175
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | FL | ARNP2655422 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE | ARNP2655422 | FL | 01 |
