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Contact Information

CARLA D KELLY, PHD
4100 W KENNEDY BLVD
#214
TAMPA, FL33609
 Phone: 813-289-6502
 Fax: 813-207-0022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CARLA D KELLY · (Female)

NPI # 1437291747
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/13/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY0002141
  • Other 00073171 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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