| Angela White Kelley, PA-C | |
|
1990 N Prospect Ave, Lecanto, FL 34461-9792 | |
| (352) 527-6888 | |
| (352) 527-6888 |
| Full Name | Angela White Kelley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1990 N Prospect Ave, Lecanto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255397501 | NPI | - | NPPES |
| 3663478 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA0000001010 (Tennessee) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9105288 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela White Kelley, PA-C 1990 N Prospect Ave, Lecanto, FL 34461-9792 Ph: (352) 527-6888 | Angela White Kelley, PA-C 1990 N Prospect Ave, Lecanto, FL 34461-9792 Ph: (352) 527-6888 |
Melanie Davies, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Kendel Vickers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Kevin Howell, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 | |
Mr. Brian Keith Bonomo, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Shelby Miller Jenkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Matthew Witt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 |