Paradise, Kelly Shannon

Paradise, Kelly Shannon is an individual health care provider with primary practice located at 2806 W Us Highway 90 Suite 102, Lake City FL 32055-4745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Paradise, Kelly Shannon can be contacted via phone (386) 438-8391.

Contact Information

Primary practice address
2806 W Us Highway 90 Suite 102 Lake City FL 32055-4745
Phone: (386) 438-8391
Fax: (386) 438-8629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9191569 Florida

Profile Details

NPI number 1407116544
LBN Legal business name Paradise, Kelly Shannon
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2012
Last updated Jul 10th, 2012 - 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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