Individual
MRS. KELSIE LEEANNE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
907 MAR WALT DR, SUITE 2024, FORT WALTON BEACH, FL 32547-6960
(850) 243-2229
(850) 862-0124
Mailing address
907 MAR WALT DR, SUITE 2024, FORT WALTON BEACH, FL 32547-6960
(850) 243-2229
(850) 862-0124
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104035
FL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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