Individual
KELLI M O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5151 WINTER GARDEN VINELAND RD STE 206, WINDERMERE, FL 34786-6098
(407) 573-3360
(407) 643-2811
Mailing address
5151 WINTER GARDEN VINELAND RD STE 206, WINDERMERE, FL 34786-6098
(407) 573-3360
(407) 643-2811
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
06/20/2024
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