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NPI Code Detail

MEDICARE: CURRAN KELSEY

MEDICARE:   CURRAN  KELSEY
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
1363A00000XPhysician Assistant

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 : 1699229146
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURRAN KELSEY
Provider Business Mailing Address
First Line : 2502 W SAINT ISABEL ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-6318
Country : US
Telephone Number : 813-874-5707
Fax Number :
Provider Business Practice Location Address
First Line : 2502 W SAINT ISABEL ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-6318
Country : US
Telephone Number : 813-874-5707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2016
Last Update Date : 11/08/2021

Similar Medicare Providers

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1992298749 — MRS. ERIKA LEIGH COHEN MD
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Directions to “ CURRAN KELSEY ” Practice Location

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