Johnson, Kelly
Johnson, Kelly is an sole proprietor health care provider with primary practice located at 730 Osceola Ave , Lake Wales FL 33853-3423. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Johnson, Kelly can be contacted via phone (863) 632-2992.Contact Information
Primary practice address
730 Osceola Ave
Lake Wales FL 33853-3423
Phone: (863) 632-2992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1639941974 |
|---|---|
| LBN Legal business name | Johnson, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2023 |
| Last updated | Oct 30th, 2023 - about 3 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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