Kelley, Angela White

Kelley, Angela White is an sole proprietor health care provider with primary practice located at 1990 N Prospect Ave , Lecanto FL 34461-9792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelley, Angela White can be contacted via phone (352) 527-6888.

Contact Information

Primary practice address
1990 N Prospect Ave Lecanto FL 34461-9792
Phone: (352) 527-6888
Fax: (352) 527-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000001010 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105288 Florida

Profile Details

NPI number 1255397501
LBN Legal business name Kelley, Angela White
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Jun 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255397501 NPPES
Tennessee MEDICAID 3663478

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