ANGELA WHITE KELLEY PA-C
NPI 1255397501
Physician Assistant - Medical in Lecanto, FL

Active since April 25, 2006
1990 N PROSPECT AVE, LECANTO, FL 34461(352) 527-6888(352) 527-6888 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela White Kelley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA WHITE KELLEY PA-C (NPI 1255397501) is an individual medical provider in Lecanto, Florida, licensed in Florida (PA9105288) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1255397501
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA WHITE KELLEYCredential: PA-C
Location Address1990 N PROSPECT AVELecanto, FL 34461-9792
Mailing Address1990 N Prospect AveLecanto, FL 34461-9792 · (352) 527-6888 · Fax (352) 527-8818
Fax(352) 527-6888
Sole ProprietorYes
Enumeration DateApril 25, 2006
Last NPPES UpdateJune 27, 2016
NPI 1255397501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in FL · PA9105288 Licensed in TN · PA0000001010
1990 N PROSPECT AVE, Lecanto, FL 34461

Other Identifiers 3

Medicare UPINQ44478TN
Medicare ID-Type Unspecified3663478TN
Medicaid3663478TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1990 N PROSPECT AVE
LECANTO, FL 34461
Internal Medicine (Sleep Medicine)
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Adult Health)
1990 N PROSPECT AVE
LECANTO, FL 34461
Massage Therapist
1990 N PROSPECT AVE
LECANTO, FL 34461
Family Medicine
1990 N PROSPECT AVE
LECANTO, FL 34461
Family Medicine
1990 N PROSPECT AVE
LECANTO, FL 34461
Pediatrics
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Family)
1990 N PROSPECT AVE
LECANTO, FL 34461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Kelley's NPI number?

The NPI number for Angela Kelley is 1255397501. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Angela Kelley located?

Angela Kelley practices at 1990 N Prospect Ave, Lecanto, FL 34461. The listed phone number is (352) 527-6888.

What is Angela Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Angela Kelley was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.