| Doctor Name: | KELLIE OLIVER |
| NPI Number: | 1760855183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9313212 |
| Business Practice Address: | 215 Acacia Rd Debary, FL - 327133801 |
| Business Phone Number: | 3869568973 |
| Business Fax Number: | |
| Mailing Address: | 500 Winderley Place, MAITLAND |
| State: | FL |
| Postal Code: | 327513801 |
| Phone Number: | 4078750555 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2015 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SE0003X |
| License Number: | ARNP9313212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |