Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | ME133315 | FL |
NPI | 1326116443 |
---|---|
Provider Name | Kelly J Seiler |
First Address | Boynton Beach, FL 33437-3782 |
Second Address | Boynton Beach, FL 33437-3782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 18/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326116443 | (05) | IA |
1326116443 | (05) | MO |
175150032 | MEDICARE (01) |