Provider Demographics
NPI:1164745063
Name:KELLY, BARBARA J (ARNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:KELLY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8510 NW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6223
Mailing Address - Country:US
Mailing Address - Phone:754-224-0002
Mailing Address - Fax:954-786-9557
Practice Address - Street 1:2000 N FEDERAL HWY
Practice Address - Street 2:201
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1022
Practice Address - Country:US
Practice Address - Phone:954-597-6601
Practice Address - Fax:954-783-7500
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2018-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP3373872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily