Search › Florida › 363L00000X
Coreen Kelly
NPI 1790319994 · on the registry since 2020
Practice
- Address
- 1430 Mason Ave
Daytona Beach, FL 32117 - Phone
- (386) 274-2000
- Fax
- (386) 274-2009
- Organisation at this address
- Dna Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-19
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