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1922741933
KELLY ANN HALLISSEY
LAKEWOOD RANCH, FL
NPI
1922741933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9115613)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
KELLY ANN HALLISSEY PA-C
6310 HEALTH PARK WAY STE 330
LAKEWOOD RANCH, FL 34202-5177
Phone number: 941-359-8900
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Mailing Address
KELLY ANN HALLISSEY PA-C
8645 BANYAN BAY BLVD
FORT MYERS, FL 33908-8515
Phone number: 551-427-9846
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