Individual provider · Type 1 NPI

Kevin K. Carlisle, P.A.

Surgical Physician Assistant · Tampa, FL

NPI number 1669467833 Active

Practice location

12880 Commodity Pl
Tampa, FL 33626-3101

Call (813) 343-5500 Map

Fax (866) 462-7445

Mailing address

PO Box 21686
Tampa, FL 33622-1686

Other practice locations

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (863) 687-1100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1682 (FL)
Surgical Physician Assistant Primary 363AS0400XPA1682 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1669467833

Kevin K. Carlisle, P.A.'s National Provider Identifier is 1669467833, issued on Sep 14, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Mar 4, 2026.