Search › Florida › 103T00000X
Mary Kerllenevich, PH.D
NPI 1386713048 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1100 S Ponce De Leon Blvd Ste 1
St Augustine, FL 32084 - Phone
- (904) 824-7733
- Fax
- (904) 829-9768
- Organisation at this address
- David J Gross Md Pa
Mclellan Dental Inc.
Mary Alston Kerllenevich, Llc
St Augustine Physical Medicine
Patricia Lewis-Slayton, Lcsw Lmft. IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida