Provider Demographics
NPI:1407099831
Name:SHEDD, KELLY ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:ANN
Last Name:SHEDD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KASH
Other - Middle Name:
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1900 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3114
Mailing Address - Country:US
Mailing Address - Phone:941-330-8885
Mailing Address - Fax:941-906-8774
Practice Address - Street 1:1900 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3114
Practice Address - Country:US
Practice Address - Phone:941-330-8885
Practice Address - Fax:941-906-8774
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12471207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology