Kettly Darius NP

NPI 1073589735 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1073589735
Gender Female
Enumeration Date 02/23/2006
Last Updated 04/18/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
13000 BRUCE B DOWNS BLVD
TAMPA FL, 33612-4745, US
Phone (813) 972-2000
Fax
Business Location
13000 BRUCE B DOWNS BLVD
TAMPA FL, 33612-4745, US
Phone (813) 972-2000
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Florida
License Number 3147832
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According to our database, Kettly Darius NP NPI is 1073589735, taxonomy code is 363LA2200X and license number is 3147832, license state is located at Florida. Kettly Darius NP physically located at 13000 Bruce B Downs Blvd, Tampa FL, 33612-4745. NPI Number Kettly Darius NP has the Individual type.

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1073589735 NPI number is provided on an as is basis without warranty of any kind. 1073589735 is maintained by the National Plan & Provider Enumeration System. The contents of Kettly Darius NP are for informational purposes only.