Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Kaiser Brock, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1104693761

Kellie Kaiser Brock, NURSEPRACTITIONER is a Family Nurse Practitioner in Niceville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

1571 Lakeside Dr
Niceville, FL 32578-4161
Phone: (713) 582-0937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11029005 (FL)

Record details

NPI number1104693761
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Other providers in Niceville