Camacho, Kellie

Camacho, Kellie is an sole proprietor health care provider with primary practice located at 3275 Ponce De Leon Blvd , Coral Gables FL 33134-7251. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Camacho, Kellie can be contacted via phone (305) 461-2000.

Contact Information

Primary practice address
3275 Ponce De Leon Blvd Coral Gables FL 33134-7251
Phone: (305) 461-2000
Fax: (786) 228-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107864 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107864 Florida

Profile Details

NPI number 1366853889
LBN Legal business name Camacho, Kellie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2014
Last updated Mar 12th, 2020 - about 4 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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