Cornnell, Kelly

Cornnell, Kelly is an individual health care provider with primary practice located at 305 E Brandon Blvd , Brandon FL 33511-5222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cornnell, Kelly can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
305 E Brandon Blvd Brandon FL 33511-5222
Phone: (813) 978-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9110185 Florida

Profile Details

NPI number 1922549104
LBN Legal business name Cornnell, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Jan 28th, 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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