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MS. KELLY DESIR
NPI 1104413905
Student in an Organized Health Care Education/Training Program in Oakland Park, FL

Active since December 28, 2020
4501 NW 31ST AVE, OAKLAND PARK, FL 33309(754) 223-7701 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly Desir NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY DESIR (NPI 1104413905) is an individual student in an organized health care education/training program in Oakland Park, Florida, licensed in Florida (PSI38194) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1104413905
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. KELLY DESIR
Location Address4501 NW 31ST AVEOakland Park, FL 33309-3403
Mailing Address10234 Isle Wynd CtBoynton Beach, FL 33437-5501 · (561) 389-1155
Phone(754) 223-7701
Sole ProprietorNo
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1104413905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · PSI38194
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4501 NW 31ST AVE, Oakland Park, FL 33309
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOELLE M MOLIERE RPH, MPH, FAARM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4501 NW 31ST AVE
OAKLAND PARK, FL 33309
Broward County (754) 223-7701
PHYTOGENICS LLC
Pharmacy (Community/Retail Pharmacy)
4501 NW 31ST AVE
OAKLAND PARK, FL 33309
Broward County (954) 612-5831
PGRX WELLNESS
Clinic/Center (Multi-Specialty)
4501 NW 31ST AVE
OAKLAND PARK, FL 33309
Broward County (754) 223-7701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Desir's NPI number?

The NPI number for Kelly Desir is 1104413905. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Kelly Desir located?

Kelly Desir practices at 4501 NW 31st Ave, Oakland Park, FL 33309. The listed phone number is (754) 223-7701.

What is Kelly Desir's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Desir was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.