BRIAN RICHARD KELLY

TAMPA, FL
NPI1356031942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  9117340)
Enumeration Date2023-05-09
Last Update Date2023-05-09
Business Address
BRIAN RICHARD KELLY PA-C
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-870-4000
Mailing Address
BRIAN RICHARD KELLY PA-C
2502 W SAINT ISABEL ST
TAMPA, FL 33607-6318
Phone number: 813-874-5707