MISS KELLY LUCILLE RAUSCH PA-C NPI 1629494364

NPI Information

NPI: 1629494364
Provider Name: MISS KELLY LUCILLE RAUSCH, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: UNC PHYSICIANS AND ASSOCIATES

PECOS Registration: Yes

Address:
601 5TH ST S
SUITE 306
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 767-4170
Get Directions

MISS Kelly Lucille Rausch, PA-C is a surgical physician assistant in St Petersburg, FL with 11 years of experience. MISS Kelly Lucille Rausch, PA-C NPI is 1629494364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 5TH ST S
SUITE 306
ST PETERSBURG, FL
ZIP 33701-804
Phone: (727) 767-4170
Fax: (727) 767-4346

The NPI 1629494364 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/5/2014 and was last updated on 8/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA107723	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016594100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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