Individual
DR. KELLEY ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5130 SUNFOREST DR STE 110, TAMPA, FL 33634-6318
(813) 800-5252
(813) 640-0881
Mailing address
5130 SUNFOREST DR STE 110, TAMPA, FL 33634-6318
(813) 800-5252
(813) 640-0881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME105565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006777700
—
FL
Enumeration date
10/17/2007
Last updated
04/16/2026
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