Individual provider · Type 1 NPI

Angela White Kelley, PA-C

Medical Physician Assistant · Lecanto, FL

NPI number 1255397501 Active

Practice location

1990 N Prospect Ave
Lecanto, FL 34461-9792

Fax (352) 527-6888

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA0000001010 (TN)
Medical Physician Assistant Primary 363AM0700XPA9105288 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1255397501

Angela White Kelley, PA-C's National Provider Identifier is 1255397501, issued on Apr 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lecanto, FL. The record was last updated on Jun 27, 2016.