Dr. Heidi-Marie Alexandra Kellock
Pediatrician Emergency Physician Pediatric Emergency Physician Pediatric Emergency Doctor
3100 E Fletcher Ave
Tampa
, Florida 33613-4613
Dr. Heidi-Marie Alexandra Kellock
Pediatrician Emergency Physician Pediatric Emergency Physician Pediatric Emergency Doctor
3100 E Fletcher Ave
Tampa
, Florida 33613-4613
(813) 972-5753
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Heidi-Marie Alexandra Kellock
- 12479 Telecom Dr
- Temple Terrace, FL
- Zip : 33637-0913
- Fax : (813) 972-5753
- Phone : (813) 972-4199
Second Address
- Dr. Heidi-Marie Alexandra Kellock
- 3100 E Fletcher Ave
- Tampa, FL
- Zip : 33613-4613
- Phone : (813) 971-6000
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FAQs
Where did Dr. Heidi-Marie Alexandra Kellock attend graduate school?
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Is Dr. Heidi-Marie Alexandra Kellock board certified?
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Is Dr. Heidi-Marie Alexandra Kellock a sole practitioner?
Is Dr. Heidi-Marie Alexandra Kellock accepting new patients?
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Does Dr. Heidi-Marie Alexandra Kellock have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | ME114140 | FL |
| Y | 207PP0204X | Pediatric Emergency Physician | ME114140 | FL |
| N | 208000000X | Pediatrician | ME114140 | FL |
| N | 2080P0204X | Pediatric Emergency Doctor | ME114140 | FL |
National Provider Identifier
| NPI | 1073645594 |
|---|---|
| Provider Name | Dr. Heidi-Marie Alexandra Kellock |
| First Address | Temple Terrace, FL 33637-0913 |
| Second Address | Tampa, FL 33613-4613 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2007 |
| Last Update Date | 28/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.