DR. KELLY DOUGLAS APRN
NPI 1396385456
Nurse Practitioner - Family in Boynton Beach, FL

Q: What is Kelly Douglas's NPI number?

The NPI number for Kelly Douglas is 1396385456. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Q: What is Kelly Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Douglas was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 07, 2020

8200 S JOG RD STE 203, BOYNTON BEACH, FL 33472(561) 509-5009 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Douglas Aprn NPPES

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

DR. KELLY DOUGLAS APRN (NPI 1396385456) is an individual family provider in Boynton Beach, Florida, licensed in Florida (APRN11005517) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1396385456

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KELLY DOUGLASCredential: APRN

Location Address8200 S JOG RD STE 203Boynton Beach, FL 33472-2981

Mailing Address3886 Edgar AveBoynton Beach, FL 33436-2728 · (561) 436-5800

Phone(561) 509-5009

Sole ProprietorNo

Enumeration DateJanuary 7, 2020

✔ NPI 1396385456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11005517

8200 S JOG RD STE 203, Boynton Beach, FL 33472

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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 Douglas's NPI number?

The NPI number for Kelly Douglas is 1396385456. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Kelly Douglas located?

Kelly Douglas practices at 8200 S Jog Rd Ste 203, Boynton Beach, FL 33472. The listed phone number is (561) 509-5009.

What is Kelly Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Douglas was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.