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NPI Code Detail

MEDICARE: DR. KYLA DEANNE (SHELLEY) CARNEY D.O.

MEDICARE: DR. KYLA DEANNE (SHELLEY) CARNEY D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS19672FL
2207Q00000XFamily Medicine Physician03582IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437114733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLA DEANNE (SHELLEY) CARNEY D.O.
Provider Business Mailing Address
First Line : 14100 58TH ST N
Second Line :
City : CLEARWATER
State : FL
Zip : 33760-9900
Country : US
Telephone Number : 727-824-8181
Fax Number : 727-290-4223
Provider Business Practice Location Address
First Line : 7550 43RD ST N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3601
Country : US
Telephone Number : 727-824-8181
Fax Number : 727-290-4223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 06/06/2023

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