Kelly Fountain, MD - Melbourne, FL

Kelly Fountain, MD

Diagnostic Radiology Physician in Melbourne, Florida

NPI 1700016359

Kelly Fountain is a Diagnostic Radiology Physician based in Melbourne, FL and is specialized in Diagnostic Radiology. Kelly Fountain practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Kelly Fountain is 1700016359 and holds a License No. 23930 (Florida).

The current practice location address for Kelly Fountain is 1223 Gateway Dr, Melbourne, FL and can be reached out via phone at 321-728-6002.

Location: 1223 Gateway Dr, Melbourne, FL, 32934-8584

NPI Number

1700016359

Provider Name

Kelly Fountain

Credential

Provider Entity Type

Individual

Gender

Female

Address

1223 Gateway Dr, Melbourne, FL, 32934-8584

Phone Number

321-728-6002

Fax Number

Provider Enumeration Date

07/16/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
PENDING	05	FL
MA915	01	FL	MEDICARE

Address

1223 Gateway Dr

City

Melbourne

State

Florida

Zip

32901-2607

Phone Number

321-728-6002

Fax Number

Address

1223 Gateway Dr

City

Melbourne

State

Florida

Zip

32901-2607

Phone Number

321-728-6002

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Diagnostic Radiology

Taxonomy

2085R0202X

License No.

23930 (Mississippi)

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.