Kelly, Tracy Ann

Kelly, Tracy Ann is an individual health care provider with primary practice located at 3000 Sw 148Th Ave Suite 200, Miramar FL 33027-4169. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kelly, Tracy Ann can be contacted via phone (703) 244-9469.

Contact Information

Primary practice address
3000 Sw 148Th Ave Suite 200 Miramar FL 33027-4169
Phone: (703) 244-9469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 012000974 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003365 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105943 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105943 Florida

Profile Details

NPI number 1194949388
LBN Legal business name Kelly, Tracy Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Apr 30th, 2019 - about 6 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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