Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Cornnell, PA-C

Individual provider Surgical Physician Assistant · NPI 1922549104

Kelly Cornnell, PA-C is a Physician Assistant in Brandon, Florida. Qualified in 2017, 9 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

305 E Brandon Blvd
Brandon, FL 33511-5222
Phone: (813) 978-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 — (813) 978-9700

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9110185 (FL)

Record details

NPI number1922549104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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