Individual
MRS. KEELA RAMSEY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 SUNTREE PL, MELBOURNE, FL 32940-7689
(321) 253-3944
(321) 253-4990
Mailing address
2 SUNTREE PL, MELBOURNE, FL 32940-7689
(321) 253-3944
(321) 253-4990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD 410
HI
363AM0700X
Medical Physician Assistant
5107
AZ
363AM0700X
Medical Physician Assistant
Primary
PA9113534
FL
Other
Enumeration date
05/18/2010
Last updated
12/02/2020
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