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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELY DURAN DE MOMBLACK
NPI 1851204085
Student in an Organized Health Care Education/Training Program in Ave Maria, FL

Active since September 28, 2026
5337 BRIN WAY, AVE MARIA, FL 34142(239) 595-7856 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kely Duran De Momblack NPPES

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

KELY DURAN DE MOMBLACK (NPI 1851204085) is an individual student in an organized health care education/training program in Ave Maria, Florida and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1851204085
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELY DURAN DE MOMBLACK
Location Address5337 BRIN WAYAve Maria, FL 34142-5048
Mailing Address5337 Brin WayAve Maria, FL 34142-5048 · (239) 595-7856
Phone(239) 595-7856
Sole ProprietorNo
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1851204085 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
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.
5337 BRIN WAY, Ave Maria, FL 34142
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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 Kely Duran De Momblack's NPI number?

The NPI number for Kely Duran De Momblack is 1851204085. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Where is Kely Duran De Momblack located?

Kely Duran De Momblack practices at 5337 Brin Way, Ave Maria, FL 34142. The listed phone number is (239) 595-7856.

What is Kely Duran De Momblack'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 Kely Duran De Momblack was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.