# PATRICK M.KELLEY, M.D., PLASTIC SURGERY CENTER, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Plastic Surgery Center, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023327673
- **Authorized official:** DR. PATRICK MARK KELLEY M.D. (PRESIDENT)
- **Authorized official phone:** (850) 769-8991

## Contact information

- **Practice address:** 15 DOCTORS DR, PANAMA CITY, FL 32405-4520
- **Practice address phone:** (850) 769-8991
- **Practice address fax:** (850) 769-3708
- **Mailing address:** 15 DOCTORS DR, PANAMA CITY, FL 32405-4520
- **Mailing address phone:** (850) 769-8991
- **Mailing address fax:** (850) 769-3708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0032802 | FL | Yes |

## Other

- **Enumeration date:** 09/30/2010
- **Last updated:** 07/05/2011