Individual
TAMMY BOYETTE KELLY
Active
Individual
TAMMY BOYETTE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-02138
NC
363AM0700X
Medical Physician Assistant
0110003655
VA
363AM0700X
Medical Physician Assistant
Primary
PA54682
CA
363AM0700X
Medical Physician Assistant
PA9107316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009498400
—
FL
01
—
1215267349
TRICARE/HEALTHNET
—
01
—
Y0J7G
BCBS OF FL
FL
Enumeration date
01/13/2010
Last updated
10/26/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up