Powell, Kelly E

Powell, Kelly E is an individual health care provider with primary practice located at 14100 Fivay Rd Suite 280, Hudson FL 34667-7180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Powell, Kelly E can be contacted via phone (727) 819-2945.

Contact Information

Primary practice address
14100 Fivay Rd Suite 280 Hudson FL 34667-7180
Phone: (727) 819-2945
Fax: (727) 819-2970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3085712 Florida

Profile Details

NPI number 1720223605
LBN Legal business name Powell, Kelly E
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2008
Last updated Mar 11th, 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 1720223605 NPPES
Florida MEDICAID 023965429

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