Bundza, Kelli
Bundza, Kelli is an sole proprietor health care provider with primary practice located at 5321 Georgia Peach Ave , Port Orange FL 32128-7534. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bundza, Kelli can be contacted via phone (386) 852-4137.Contact Information
Primary practice address
5321 Georgia Peach Ave
Port Orange FL 32128-7534
Phone: (386) 852-4137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL 3002 | Florida |
Profile Details
| NPI number | 1477960771 |
|---|---|
| LBN Legal business name | Bundza, Kelli |
| Credentials | AT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2014 |
| Last updated | Jul 18th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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