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Kelly Ailien Le
General Practice Physician in Jacksonville, Florida
NPI 1619554169

Kelly Ailien Le is a General Practice Physician based in Jacksonville, FL. Kelly Ailien Le practices in Jacksonville, FL. The NPI Number for Kelly Ailien Le is 1619554169 and holds a License No. 20A20479 (Florida).

The current practice location address for Kelly Ailien Le is 2080 Child St Dept 5000, Jacksonville, FL and can be reached out via phone at 858-610-6072.

Location: 2080 Child St Dept 5000, Jacksonville, FL, 32214-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619554169
Provider Name
Kelly Ailien Le
Credential
Provider Entity Type
Individual
Gender
Female
Address
2080 Child St Dept 5000, Jacksonville, FL, 32214-5000
Phone Number
858-610-6072
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St Dept 5000
City
Jacksonville
State
Florida
Zip
32214-5000
Phone Number
858-610-6072
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St Dept 5000
City
Jacksonville
State
Florida
Zip
32214-5000
Phone Number
858-610-6072
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
20A20479 (California)
Definition
Definition to come...
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