Iannazzo, Kelly Marie

Iannazzo, Kelly Marie is an individual health care provider with primary practice located at 400 Celebration Pl Suite A280, Celebration FL 34747-4970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Iannazzo, Kelly Marie can be contacted via phone (407) 566-4411.

Contact Information

Primary practice address
400 Celebration Pl Suite A280 Celebration FL 34747-4970
Phone: (407) 566-4411
Fax: (407) 566-4416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA053583 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1886 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9108977 Florida

Profile Details

NPI number 1679710149
LBN Legal business name Iannazzo, Kelly Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Jan 5th, 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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