Individual
MS. KATHRYN SHELLY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
625 6TH AVE S STE 430, ST PETERSBURG, FL 33701-4629
(727) 553-7273
(727) 553-7275
Mailing address
625 6TH AVE S STE 430, ST PETERSBURG, FL 33701-4629
(275) 537-2737
(727) 553-7275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008051700
—
FL
Enumeration date
12/11/2012
Last updated
06/30/2025
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