person
Diane J Kelly, MD
Obstetrics Physician in Melbourne, Florida
NPI 1932190600

Diane J Kelly is a Obstetrics Physician based in Melbourne, FL and is specialized in Obstetrics. Diane J Kelly practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Diane J Kelly is 1932190600 and holds a License No. ME47018 (Florida).

The current practice location address for Diane J Kelly is 1223 Gateway Dr, Melbourne, FL and can be reached out via phone at 321-729-6166 and via fax at 321-952-9406. You can also correspond with Diane J Kelly through the mailing address at 1223 GATEWAY DR, MELBOURNE, FL - 32901-2607 (mailing address contact number: 321-729-6166).

Location: 1223 Gateway Dr, Melbourne, FL, 32901-2607
person
Provider Profile Details
NPI Number
1932190600
Provider Name
Diane J Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1223 Gateway Dr, Melbourne, FL, 32901-2607
Phone Number
321-729-6166
Fax Number
321-952-9406
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
160045705 01 FL RR MEDICARE
042339400 05 FL
institution
Provider Business Practice Location Address Details
Address
1223 Gateway Dr
City
State
Zip
32901-2607
Phone Number
321-729-6166
Fax Number
321-952-9406
person
Provider Business Mailing Address Details
Address
1223 Gateway Dr
City
State
Zip
32901-2607
Phone Number
321-729-6166
Fax Number
321-952-9406
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
ME47018 (Florida)
Definition
Definition to come...
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