Provider Demographics
NPI:1427458454
Name:KALINA, JENNY (PA)
Entity type:Individual
Prefix:MS
First Name:JENNY
Middle Name:
Last Name:KALINA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 2ND AVE S STE 904S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4354
Mailing Address - Country:US
Mailing Address - Phone:727-329-8859
Mailing Address - Fax:727-825-0330
Practice Address - Street 1:100 2ND AVE S STE 904S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4354
Practice Address - Country:US
Practice Address - Phone:727-329-8859
Practice Address - Fax:727-825-0330
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9115865363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical