Individual
KAY W FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(386) 328-5711
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8781
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME68535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03246
BCBS OF FL
FL
Enumeration date
12/06/2005
Last updated
12/29/2011
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