Individual
CAITLIN ANNE O'KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5800 49TH ST N STE S-201, ST PETERSBURG, FL 33709-2146
(727) 605-1770
Mailing address
6338 6TH AVE S, ST PETERSBURG, FL 33707-2337
(727) 251-4614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111878
FL
363AM0700X
Medical Physician Assistant
9111878
FL
Other
Enumeration date
12/20/2018
Last updated
09/09/2024
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