Individual provider · Type 1 NPI

Kelly Cornnell, PA-C

Physician Assistant · Brandon, FL

NPI number 1922549104 Active

Practice location

305 E Brandon Blvd
Brandon, FL 33511-5222

Call (813) 978-9700 Map

Mailing address

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305

Other practice locations

  • 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 · (813) 978-9700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9110185 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1922549104

Kelly Cornnell, PA-C's National Provider Identifier is 1922549104, issued on Mar 20, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brandon, FL. The record was last updated on Aug 18, 2026.