Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Elizabeth Keough, PA-C

Individual provider Medical Physician Assistant · NPI 1255798005

Kelly Elizabeth Keough, PA-C is a Medical Physician Assistant in Tampa, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone: (813) 925-1903
Fax: (813) 749-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13801 Bruce B Downs Blvd, Tampa, FL 33613-3946 — (813) 345-2380

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PAT9109279 (FL)

Record details

NPI number1255798005
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2016
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

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