Individual provider · Type 1 NPI

Kelly Parker, PA-C

Medical Physician Assistant · Land O Lakes, FL

NPI number 1811459399 Active

Practice location

2100 Via Bella Blvd Ste 102
Land O Lakes, FL 34639-5429

Call (813) 712-5718 Map

Fax (813) 355-5029

Mailing address

38135 Market Square Dr
Zephyrhills, FL 33542-7505

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505X025795 (NY)
Medical Physician Assistant 363AM0700X025795 (NY)
Medical Physician Assistant Primary 363AM0700XPA9117316 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1811459399

Kelly Parker, PA-C's National Provider Identifier is 1811459399, issued on Apr 3, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Land O Lakes, FL. The record was last updated on Jan 17, 2024.