License Verification

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KELLY ELIZABETH KEOUGH

License Number: PA9109279

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9109279
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/17/2015
Address of Record
3301 W. Gandy Blvd
TAMPA, FL 33611
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4949 4th Street North
SAINT PETERSBURG, FL 33703
Address
13531 State Rd. 54
ODESSA, FL 33556
Address
3251 66th Street North Fast Track Urgent Care
SAINT PETERSBURG, FL 33710
Address
564 Channelside Dr Fast Track Urgent Care
TAMPA, FL 33602
Address
799 W Lumsden Rd FAST TRACK URGENT CARE
BRANDON, FL 33511
Address
16521 US Hwy 301 S FAST TRACK URGENT CARE
SUN CITY CENTER, FL 33573
Address
5464 Lithia Pinecrest Drive Fast Track Urgent Care
LITHIA, FL 33547
Address
40545 US Hwy 19N Unit A Fast Track Urgent Care
TARPON SPRINGS, FL 34689
Address
6182 N US Highway 41 Fast Track Urgent Care
APOLLO BEACH, FL 33572
Address
7601 SEMINOLE BLVD FAST TRACK URGENT CARE
SEMINOLE, FL 33772
Address
303 W . PALM AVE FAST TRACK URGENT CARE CENTER
TAMPA, FL 33602
Address
11406 US HWY 301 S FAST TRACK URGENT CARE
RIVERVIEW, FL 33578
Address
4505 GUNN HWY FAST TRACK URGENT CARE CENTER
TAMPA, FL 33624
Address
11969 SHELDON RD FAST TRACK URGENT CARE CENTER
TAMPA, FL 33626
Address
5504 GATEWAY BLVD FAST TRACK URGENT CARE CENTER
WESLEY CHAPEL, FL 33544
Address
3301 W GANDY BLVD FAST TRACK URGENT CARE CENTER
TAMPA, FL 33611
Address
13856 N Dale Mabry HWy
TAMPA, FL 33618
Address
2810 W M.L.K. Jr. Blvd
TAMPA, FL 33607
Address
22945 State Road 54
LUTZ, FL 33549
Address
19027 Wingshooter Way
LUTZ, FL 33558
Name Relationship Profession License Effective Date
FROMMANN, NICOLE Supervising Dispensing Practitioner Medical Doctor 81429 02/18/2019
FROMMANN, NICOLE Supervising Prescribing Practitioner Medical Doctor 81429 09/17/2018
NANDA, PAUL KALRA Supervising Dispensing Practitioner Medical Doctor 117861 02/18/2019
NANDA, PAUL KALRA Supervising Prescribing Practitioner Medical Doctor 117861 09/17/2018

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.