| Kelly Lo, CAA | |
|
1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | |
| (954) 838-2371 | |
| Not Available |
| Full Name | Kelly Lo |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 1309 N Flagler Dr, West Palm Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093511479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 1048 (Florida) | Primary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lo, CAA 19060 Talon Way, Jupiter, FL 33458-2446 Ph: (317) 410-6612 | Kelly Lo, CAA 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 Ph: (954) 838-2371 |
Kajal Patel, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2201 45th St, West Palm Beach, FL 33407 Phone: 561-842-6141 | |
Michael A. Imon, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 45th Street, West Palm Beach, FL 33407 Phone: 954-838-2371 Fax: 954-851-1758 | |
Alexandra Bain, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, West Palm Beach, FL 33407 Phone: 561-623-2064 | |
Alexis Noelle Cardenas, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 300 Palm Beach Lakes Blvd, West Palm Beach, FL 33401 Phone: 561-657-4600 Fax: 561-657-4605 | |
Mr. Brandon Kent Kemmerer, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2201 45th St, West Palm Beach, FL 33407 Phone: 561-842-6141 | |
Megan Grace Busman, PA-A Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1309 N Flagler Dr, West Palm Beach, FL 33401 Phone: 561-655-5511 |