Mcilvaine, Kelley Mulfinger

Mcilvaine, Kelley Mulfinger is an individual health care provider with primary practice located at 4197 Woodlands Pkwy , Palm Harbor FL 34685-3493. 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. Mcilvaine, Kelley Mulfinger can be contacted via phone (727) 786-3810.

Contact Information

Primary practice address
4197 Woodlands Pkwy Palm Harbor FL 34685-3493
Phone: (727) 786-3810
Fax: (727) 786-3855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111274 Florida

Profile Details

NPI number 1619338688
LBN Legal business name Mcilvaine, Kelley Mulfinger
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Sep 30th, 2023 - about 3 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 1619338688 NPPES
Florida MEDICAID 024945100

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