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Individual
KALEENA SHIRLEY
Active
Individual
KALEENA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175081A
—
GA
05
—
016381600
—
FL
Enumeration date
12/13/2013
Last updated
10/16/2016
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