Osullivan-Stobbe, Kelly

Osullivan-Stobbe, Kelly is an individual health care provider with primary practice located at 202 N Park Ave , Apopka FL 32703-4148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Osullivan-Stobbe, Kelly can be contacted via phone (407) 889-4711.

Contact Information

Primary practice address
202 N Park Ave Apopka FL 32703-4148
Phone: (407) 889-4711
Fax: (407) 889-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0003199 Florida

Profile Details

NPI number 1750372934
LBN Legal business name Osullivan-Stobbe, Kelly
Credentials PAC MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 3rd, 2021 - about 3 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 1750372934 NPPES
Florida Other K9529 MEDICARE GROUP

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