person
Kelly Elizabeth Keough, PA-C
Medical Physician Assistant in Tampa, Florida
NPI 1255798005

Kelly Elizabeth Keough is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Kelly Elizabeth Keough practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Kelly Elizabeth Keough is 1255798005 and holds a License No. PAT9109279 (Florida).

The current practice location address for Kelly Elizabeth Keough is 3301 W Gandy Blvd, Tampa, FL and can be reached out via phone at 813-925-1903 and via fax at 813-749-8370.

Location: 3301 W Gandy Blvd, Tampa, FL, 33611-2931
person
Provider Profile Details
NPI Number
1255798005
Provider Name
Kelly Elizabeth Keough
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3301 W Gandy Blvd, Tampa, FL, 33611-2931
Phone Number
813-925-1903
Fax Number
813-749-8370
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3301 W Gandy Blvd
City
State
Zip
33611-2931
Phone Number
813-925-1903
Fax Number
813-749-8370
person
Provider Business Mailing Address Details
Address
3301 W Gandy Blvd
City
State
Zip
33611-2931
Phone Number
813-925-1903
Fax Number
813-749-8370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAT9109279 (Florida)
Definition
Definition to come...
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