Individual
DR. KELLY ENNIX KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
935 OAKFIELD DR, BRANDON, FL 33511-4935
(813) 651-3492
Mailing address
11113 COVENTRY GROVE CIR, LITHIA, FL 33547-4924
(813) 244-4741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A83650
CA
207R00000X
Internal Medicine Physician
ME116572
FL
208M00000X
Hospitalist Physician
Primary
A83650
CA
208M00000X
Hospitalist Physician
ME116572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009385100
—
CA
05
—
009385100
—
FL
Enumeration date
02/01/2006
Last updated
05/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us