Dixon, Kelle
Dixon, Kelle is an individual health care provider with primary practice located at 1650 Medical Ln , Fort Myers FL 33907-1116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dixon, Kelle can be contacted via phone (239) 277-9818.Contact Information
Primary practice address
1650 Medical Ln
Fort Myers FL 33907-1116
Phone: (239) 277-9818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5883 | Florida |
Profile Details
| NPI number | 1154454700 |
|---|---|
| LBN Legal business name | Dixon, Kelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154454700 | NPPES |
| Florida | Other | Y902L | BCBS FL GROUP PROVIDER # |
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