Individual
KELLY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(954) 838-2371
Mailing address
19060 TALON WAY, JUPITER, FL 33458-2446
(317) 410-6612
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1048
FL
367H00000X
Anesthesiologist Assistant
Primary
AA1048
FL
Other
Enumeration date
02/24/2025
Last updated
04/30/2026
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