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Individual
KELCI RAGSDALE
Active
Individual
KELCI RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11283
GA
363A00000X
Physician Assistant
Primary
PA9120071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11283
LICENSE
GA
01
—
C08090
LICENSE
MD
Enumeration date
08/26/2021
Last updated
10/10/2025
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