Individual
MR. CHRISTOPHER P KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
703 VIRGINIA ST, DUNEDIN, FL 34698
(727) 734-4000
(727) 738-5037
Mailing address
703 VIRGINIA ST, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 738-5037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291709200
—
FL
Enumeration date
10/11/2005
Last updated
06/06/2018
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