Kelley Wise
NPI #1023656600 in Palm Coast, Florida
Provider Information
- NPI Number
- 1023656600
- Entity Type
- Individual
- Name
- Kelley Wise
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 14, 2019
- Last Updated
- Feb 7, 2021
Practice Location
- Address
- 9 PINE CONE DR STE 102
- City
- Palm Coast
- State
- Florida
- ZIP Code
- 32137-8683
- Phone
- (386) 445-6191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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