Provider Demographics
NPI:1801935820
Name:DEVERS, KELLY GARLAND (MD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:GARLAND
Last Name:DEVERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:SUE
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF FLORIDA DEPT OF PATHOLOGY
Mailing Address - Street 2:PO BOX 100275
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0275
Mailing Address - Country:US
Mailing Address - Phone:352-265-0238
Mailing Address - Fax:352-265-0437
Practice Address - Street 1:UNIVERSITY OF FLORIDA DEPT OF PATHOLOGY
Practice Address - Street 2:1600 SW ARCHER ROAD
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0275
Practice Address - Country:US
Practice Address - Phone:352-265-0238
Practice Address - Fax:352-265-0437
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 106632207ZN0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology