Female

Mrs. Kelly Parker PA-C

Medical Physician Assistant in Land O Lakes, FL(View on Map)

Full Name

Mrs. Kelly Parker PA-C

NPI Number

1811459399

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/03/2019

Specialties

(Taxonomies)

Code

363AM0700X
207QA0505X

Primary Taxonomy

Yes
No

Licenses

State

Florida
New York

License Number

PA9117316
025795

Contact
Information

Purpose

Mailing
Location

Address

38135 MARKET SQUARE DR
2100 VIA BELLA BLVD STE 102

City

Zephyrhills
Land O Lakes

State

FL
FL

Postal Code

33542-7505
34639-5429

Country

US
US

Telephone Number

(352) 567-0188
(813) 712-5718

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/17/2024

Provider Address

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