Individual
KATHLEEN H MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
455 PINELLAS ST., SUITE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 441-4966
Mailing address
455 PINELLAS ST STE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 441-4966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9105881
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9105881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003456100
—
FL
Enumeration date
01/12/2011
Last updated
04/12/2023
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