Burr, Kelly

Burr, Kelly is an individual health care provider with primary practice located at 12170 Seminole Blvd , Largo FL 33778-2833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Burr, Kelly can be contacted via phone (727) 586-5355.

Contact Information

Primary practice address
12170 Seminole Blvd Largo FL 33778-2833
Phone: (727) 586-5355
Fax: (727) 526-4346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9171603 Florida

Profile Details

NPI number 1861797763
LBN Legal business name Burr, Kelly
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2011
Last updated Sep 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861797763 NPPES
Florida MEDICAID 003097100

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