Heidi-marie Alexandra Kellock MD

NPI 1073645594 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073645594
Gender Female
Enumeration Date 03/10/2007
Last Updated 10/28/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3100 E FLETCHER AVE
TAMPA FL, 33613-4613, US
Phone (813) 971-6000
Fax
Business Location
12479 TELECOM DR
TEMPLE TERRACE FL, 33637-0913, US
Phone (813) 972-4199
Fax (813) 972-5753
Toxanomy
Taxonomy Code 207P00000X
License State Florida
License Number ME114140
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According to our database, Dr. Heidi-marie Alexandra Kellock MD NPI is 1073645594, taxonomy code is 207P00000X and license number is ME114140, license state is located at Florida. Heidi-marie Alexandra Kellock MD physically located at 3100 E Fletcher Ave, Tampa FL, 33613-4613. NPI Number Heidi-marie Alexandra Kellock MD has the Individual type.

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1073645594 NPI number is provided on an as is basis without warranty of any kind. 1073645594 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi-marie Alexandra Kellock MD are for informational purposes only.