Provider Demographics
NPI:1821682840
Name:COMINGORE, KELLY E (APRN)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:E
Last Name:COMINGORE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 100236
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0236
Mailing Address - Country:US
Mailing Address - Phone:352-273-5550
Mailing Address - Fax:352-273-5575
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3509
Practice Address - Country:US
Practice Address - Phone:522-735-5503
Practice Address - Fax:352-273-5575
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011247363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care