Individual
MS. KELLY A BURRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
10609 LIBERTY BELL DR, TAMPA, FL 33647-3663
(813) 334-0663
(813) 364-1740
Mailing address
10609 LIBERTY BELL DR, TAMPA, FL 33647-3663
(813) 334-0663
(813) 364-1740
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009351300
—
FL
Enumeration date
06/28/2013
Last updated
02/10/2023
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