Provider Demographics
NPI:1013448570
Name:RHODES, KEMLEY MARIE
Entity Type:Individual
Prefix:DR
First Name:KEMLEY
Middle Name:MARIE
Last Name:RHODES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 JASMINE WOODS CT APT 12A
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-9326
Mailing Address - Country:US
Mailing Address - Phone:321-663-3577
Mailing Address - Fax:321-663-3577
Practice Address - Street 1:433 SUN LAKE CIR
Practice Address - Street 2:APT 209
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6142
Practice Address - Country:US
Practice Address - Phone:787-375-4597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN9415863163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN9415863OtherREGISTER NURSE MSN DNP PROGRAM