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

Kelly Holton

Individual provider Nephrology Physician · NPI 1760890685

Kelly Holton is a Nurse Practitioner in Tampa, Florida. Qualified in 2013, 13 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4710 N Habana Ave, Tampa, FL 33614-7161 — (813) 873-1016

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9310510 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence 9310510 (FL)

Record details

NPI number1760890685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing addressPo Box 198441, Atlanta, GA 30384-8441

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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