KELLY A PICKENS

BEACHSIDE PHYSICAL THERAPY INC

Dr KELLY A PICKENS is a female medical professional, specializing in Physical Therapy. She graduated in 2016.

Contact

BEACHSIDE PHYSICAL THERAPY INC

417 5TH AVE
APT 101
INDIALANTIC
FL
329034224

Tel: 3217272707138

KELLY A PICKENS Information

Npi 1043731797
Pac Id 9234400771
Professional Enrollment Id I20181219000143
Last Name PICKENS
First Name KELLY
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BEACHSIDE PHYSICAL THERAPY INC
Group Practice Pac Id 1052202769
Number Of Group Practice Members 10
Line 1 Street Address 417 5TH AVE
Line 2 Street Address APT 101
Marker Of Address Line 2 Suppression
City INDIALANTIC
State FL
Zip Code 329034224
Phone Number 3217272707138
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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