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Contact Information

KELLY L THATCHER, ARNP-C
3001 W DR MARTIN LUTHER KING JR BLVD FL 1
TAMPA, FL33607
 Phone: 813-870-4619
 Fax: 813-554-8956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for KELLY L THATCHER · (Female)

NPI Number 1568989317
Status Active
Credentials ARNP-C
Entity Individual
Enumeration date 08/23/2017
Last updated 08/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9221346
  • FL License # ARNP9221346
  • FL Medicaid 023380000
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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