Brenner, Kelley Grayson

Brenner, Kelley Grayson is an individual health care provider with primary practice located at 3100 17Th St , Saint Cloud FL 34769-6021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brenner, Kelley Grayson can be contacted via phone (407) 891-3500.

Contact Information

Primary practice address
3100 17Th St Saint Cloud FL 34769-6021
Phone: (407) 891-3500
Fax: (407) 892-3285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002724 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002724 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-9107363 Florida

Profile Details

NPI number 1689843054
LBN Legal business name Brenner, Kelley Grayson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated Feb 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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