Provider Demographics
NPI:1437114733
Name:CARNEY, KYLA DEANNE (SHELLEY) (DO)
Entity Type:Individual
Prefix:DR
First Name:KYLA
Middle Name:DEANNE (SHELLEY)
Last Name:CARNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KYLA
Other - Middle Name:DEANNE
Other - Last Name:SHELLEY-CARNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:14100 58TH ST N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-9900
Mailing Address - Country:US
Mailing Address - Phone:727-824-8181
Mailing Address - Fax:727-290-4223
Practice Address - Street 1:7550 43RD ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3601
Practice Address - Country:US
Practice Address - Phone:727-824-8181
Practice Address - Fax:727-290-4223
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS19672207Q00000X
IA03582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine