Individual
CARSON KENNEDY SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11315 CORPORATE BLVD STE 105, ORLANDO, FL 32817-8340
(407) 534-0186
Mailing address
11315 CORPORATE BLVD STE 105, ORLANDO, FL 32817-8340
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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