Individual provider · NPI-1

Kelley Michelle Coone, ARNP

Nurse Practitioner, Family · Crestview, FL

NPI number1013586130
StatusActive
Last updated in NPPESAug 22, 2024

Details

NPI
1013586130
Entity type
Individual (NPI-1)
Name
Ms. Kelley Michelle Coone
Credential
ARNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2021
Certification date
Aug 22, 2024
Last updated
Aug 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11013473FLYes

Practice location

130 E Redstone Ave
Crestview, FL 32539-5348

Phone 850-398-8725

Mailing address

130 E Redstone Ave
Crestview, FL 32539-5348

Phone 850-398-8725

Other practice locations

4200 Regent St Ste 200
Columbus, OH 43219-6229

Phone 877-870-1775 · Fax 614-968-8840

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