person
Angela White Kelley, PA-C
Medical Physician Assistant in Lecanto, Florida
NPI 1255397501

Angela White Kelley is a Medical Physician Assistant based in Lecanto, FL and is specialized in Medical. Angela White Kelley practices in Lecanto, FL and has the professional credentials of PA-C. The NPI Number for Angela White Kelley is 1255397501 and holds a License No. PA0000001010 (Florida).

The current practice location address for Angela White Kelley is 1990 N Prospect Ave, Lecanto, FL and can be reached out via phone at 352-527-6888 and via fax at 352-527-6888.

Location: 1990 N Prospect Ave, Lecanto, FL, 34461-9792
person
Provider Profile Details
NPI Number
1255397501
Provider Name
Angela White Kelley
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1990 N Prospect Ave, Lecanto, FL, 34461-9792
Phone Number
352-527-6888
Fax Number
352-527-6888
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3663478 05 TN
institution
Provider Business Practice Location Address Details
Address
1990 N Prospect Ave
City
State
Zip
34461-9792
Phone Number
352-527-6888
Fax Number
352-527-6888
person
Provider Business Mailing Address Details
Address
1990 N Prospect Ave
City
State
Zip
34461-9792
Phone Number
352-527-6888
Fax Number
352-527-6888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA0000001010 (Tennessee)
Definition
Definition to come...
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