IndividualActive
Kenneth Collins, PA-C
NPI 1679759880 · Pediatric Clinical Nurse Specialist · St Petersburg, FL
Provider details
- NPI number
- 1679759880
- Entity type
- Individual
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA9104475 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1033 Dr Martin Luther King Jr St N
Suite 108
St Petersburg, FL 33701-1547
Phone: (727) 767-4755
Fax: (727) 767-4951
Approximate (ZIP-level) locationGet directions
Mailing address
1033 Dr Martin Luther King Jr St N
St Petersburg, FL 33701-1547
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.