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1255798005
KELLY ELIZABETH KEOUGH
TAMPA, FL
NPI
1255798005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PAT9109279)
Enumeration Date
2016-01-25
Last Update Date
2022-06-07
Business Address
KELLY ELIZABETH KEOUGH PA-C
3301 W GANDY BLVD
TAMPA, FL 33611-2931
Phone number: 813-925-1903
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Mailing Address
KELLY ELIZABETH KEOUGH PA-C
3301 W GANDY BLVD
TAMPA, FL 33611-2931
Phone number: 813-925-1903
Copy
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