Individual provider · Type 1 NPI

Kelly Elizabeth Keough, PA-C

Medical Physician Assistant · Tampa, FL

NPI number 1255798005 Active

Practice location

3301 W Gandy Blvd
Tampa, FL 33611-2931

Call (813) 925-1903 Map

Fax (813) 749-8370

Other practice locations

  • 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 · (813) 345-2380

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPAT9109279 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1255798005

Kelly Elizabeth Keough, PA-C's National Provider Identifier is 1255798005, issued on Jan 25, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on Jun 7, 2022.