Johnson, Kelli Renee

Johnson, Kelli Renee is an individual health care provider with primary practice located at 802 Fisher Rd , Winter Springs FL 32708-3642. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Johnson, Kelli Renee can be contacted via phone (407) 699-4207.

Contact Information

Primary practice address
802 Fisher Rd Winter Springs FL 32708-3642
Phone: (407) 699-4207
Fax: (407) 699-7897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW162 Florida

Profile Details

NPI number 1881643039
LBN Legal business name Johnson, Kelli Renee
Credentials CPM, LM, EMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881643039 NPPES
Florida Other 744426 AETNA PROVIDER NUMBER
Florida Other Y041K AETNA PROVIDER NUMBER

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