Seletos, Colleen O'Kennedy

Seletos, Colleen O'Kennedy is an individual health care provider with primary practice located at 2044 Trinity Oaks Blvd Ste 220 , Trinity FL 34655-4406. 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. Seletos, Colleen O'Kennedy can be contacted via phone (727) 645-6900.

Contact Information

Primary practice address
2044 Trinity Oaks Blvd Ste 220 Trinity FL 34655-4406
Phone: (727) 645-6900
Fax: (727) 372-8989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9111933 Florida

Profile Details

NPI number 1992279996
LBN Legal business name Seletos, Colleen O'Kennedy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2019
Last updated Oct 15th, 2021 - about 5 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 1992279996 NPPES
Florida Other 9111933 FLORIDA DEPARTMENT OF HEALTH

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