NPI 1013787662

Kelsey Lane Shaner, PAC

Practitioner Physician Assistant Ocala, FL

Practice location

Address: 4600 SW 46th CT STE 150, Ocala, FL 34474-5753
Phone: (352) 369-5999
Mailing address: 5697 SW 49th Rd Unit 6208, Ocala, FL 34474-5674

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9118294 (FL)

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Registry record

NPI: 1013787662
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2024
Record last updated: 4 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.