SCOTT KELLY APRN NPI 1568050904

NPI Information

  • NPI: 1568050904
  • Provider Name: SCOTT KELLY, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4684 HIGHWAY 90
    MARIANNA, FL
    ZIP 32446
  • Phone: (866) 389-2727

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NPI Details

Scott Kelly, APRN is a family nurse practitioner in Marianna, FL. Scott Kelly, APRN NPI is 1568050904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4684 HIGHWAY 90
MARIANNA, FL
ZIP 32446-503
Phone: (866) 389-2727

The enumeration date for this NPI number is 12/31/2020 and was last updated on 12/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily11010007FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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