Carson, Kelly

Carson, Kelly is an sole proprietor health care provider with primary practice located at 4100 14Th St Ne , Saint Petersburg FL 33703-5328. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Carson, Kelly can be contacted via phone (727) 455-8305.

Contact Information

Primary practice address
4100 14Th St Ne Saint Petersburg FL 33703-5328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 1988 Florida

Profile Details

NPI number 1376835520
LBN Legal business name Carson, Kelly
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2011
Last updated May 6th, 2011 - about 13 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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