Kelly, Pamela S

Kelly, Pamela S is an individual health care provider with primary practice located at 2 Tampa General Cir Stc 4Th Floor, Tampa FL 33606-3603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kelly, Pamela S can be contacted via phone (813) 259-8500.

Contact Information

Primary practice address
2 Tampa General Cir Stc 4Th Floor Tampa FL 33606-3603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2093742 Florida

Profile Details

NPI number 1962415133
LBN Legal business name Kelly, Pamela S
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Feb 23rd, 2022 - about 2 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 1962415133 NPPES
Florida MEDICAID 300964500
Florida Other Y1050

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