IndividualActive
Kirsty Kanner, PA
NPI 1629300835 · Medical Physician Assistant · Tampa, FL
Provider details
- NPI number
- 1629300835
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9105336 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13330 Usf Laurel Dr
Tampa, FL 33612-6601
Phone: (813) 821-8038
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 917770
Orlando, FL 32891-0001
Additional practice locations (1)
- 13670 Walsingham RdLargo, FL 33774-3532Phone: (727) 593-9848Fax: (727) 596-4532
Registry dates
- Enumerated
- 2010-02-12
- Last updated
- 2023-02-24
- Certified
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.