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Contact Information

CHRISTOPHER P KELLY, PA
703 VIRGINIA ST
DUNEDIN, FL34698
 Phone: 727-734-4000
 Fax: 727-738-5037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTOPHER P KELLY · (Male)

NPI # 1306834783
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/11/2005
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9101046
  • FL Medicaid 291709200
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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