Individual
KELLI ANN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12500 N DALE MABRY HWY STE A, TAMPA, FL 33618-2809
(813) 960-7533
(813) 355-5039
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9116483
FL
Other
Enumeration date
09/21/2022
Last updated
07/30/2024
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