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Individual

PAMELA S KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2 TAMPA GENERAL CIR, STC 4TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8500
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP2093742
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300964500
FL
01
Y1050
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/15/2006
Last updated
02/23/2022
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