Individual
KELSEY LYNNE KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N 35TH AVE STE 600, HOLLYWOOD, FL 33021-5431
(954) 265-5969
(954) 965-3599
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110176
FL
Other
Enumeration date
08/03/2009
Last updated
03/16/2021
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