Individual
KELLIN CONWAY GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
111 N. BREVARD AVE., TAMPA, FL 33606
(813) 253-6250
(813) 258-7413
Mailing address
12098 96TH PL, SEMINOLE, FL 33772-2613
(727) 644-6772
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9266034
FL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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