KELLY SUE PEREZ RPA-C NPI 1730412172

NPI Information

  • NPI: 1730412172
  • Provider Name: KELLY SUE PEREZ, RPA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5503 S CONGRESS AVE STE 206
    ATLANTIS, FL
    ZIP 33462
  • Phone: (561) 964-1632

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NPI Details

Kelly Sue Perez, RPA-C is a medical physician assistant in Atlantis, FL with 16 years of experience. Kelly Sue Perez, RPA-C NPI is 1730412172. 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:

5503 S CONGRESS AVE STE 206
ATLANTIS, FL
ZIP 33462-626
Phone: (561) 964-1632
Fax: (561) 964-1636

The NPI 1730412172 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 9/17/2009 and was last updated on 1/26/2022.

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
1363AM0700XPhysician AssistantMedicalMA055368PENNSYLVANIANo
2363AM0700XPhysician AssistantMedicalPA9114802FLORIDAYes

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: 3/30/2025

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