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KELLY ELIZABETH KEOUGH PA-C
NPI 1255798005
Physician Assistant - Medical in Tampa, FL

Active since January 25, 2016
3301 W GANDY BLVD, TAMPA, FL 33611(813) 925-1903(813) 749-8370 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2022, Jan 25, 2016 (2 updates tracked since 2016).

About Kelly Elizabeth Keough Pa-c NPPES

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

KELLY ELIZABETH KEOUGH PA-C (NPI 1255798005) is an individual medical provider in Tampa, Florida, licensed in Florida (PAT9109279) and active in the NPI registry since January 2016. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1255798005
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY ELIZABETH KEOUGHCredential: PA-C
Location Address3301 W GANDY BLVDTampa, FL 33611-2931
Mailing Address3301 W Gandy BlvdTampa, FL 33611-2931 · (813) 925-1903 · Fax (813) 749-8370
Phone(813) 925-1903
Fax(813) 749-8370
Sole ProprietorNo
Enumeration DateJanuary 25, 2016
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1255798005 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
License✔ Licensed in FL · PAT9109279
3301 W GANDY BLVD, Tampa, FL 33611
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Secondary Practice Location 1

Location 113801 Bruce B Downs Blvd, Suite 406Tampa, FL 33613-3946 · Phone (813) 345-2380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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.

JESSIE HEMRIC
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (139) 251-9038
MIRANDA POWELL
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 925-1903
SYNERGIC HEALTHCARE SOLUTIONS LLC
Clinic/Center (Urgent Care)
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 925-1903
KELLI LYNN WARNS MSN APRN FNP-C
Nurse Practitioner (Family)
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (318) 925-1903
SANDRA KAY STAPLETON PA
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 925-1903
STEPHEN PARSONS NP
Nurse Practitioner
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 925-1903
ZACHARY CHASE THOMPSON M.D.
Family Medicine
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 925-1903
RACHEL E DUNPHY PA-C
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 925-1903

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 Kelly Keough's NPI number?

The NPI number for Kelly Keough is 1255798005. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Where is Kelly Keough located?

Kelly Keough practices at 3301 W Gandy Blvd, Tampa, FL 33611. The listed phone number is (813) 925-1903.

What is Kelly Keough's specialty?

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

What insurance does Kelly Keough accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kelly Keough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Keough was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.