Female

Mrs. Keela R. Stanley PA-C

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Mrs. Keela Ramsey Stanley PA-C

NPI Number

1619296589

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/18/2010

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Arizona
Florida
Hawaii

License Number

5107
PA9113534
AMD 410

Contact
Information

Purpose

Mailing
Location

Address

2 SUNTREE PL
2 SUNTREE PL

City

Melbourne
Melbourne

State

FL
FL

Postal Code

32940-7689
32940-7689

Country

US
US

Telephone Number

(321) 253-3944
(321) 253-3944

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

Data last updated by provider on 12/02/2020

Provider Address

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