Individual
KELLY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, SAINT PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
220 59TH AVE S, ST PETERSBURG, FL 33705-5414
(727) 481-1219
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT4437
FL
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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