Defoe, Kelli

Defoe, Kelli is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Defoe, Kelli can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1689066995
LBN Legal business name Defoe, Kelli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 10 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 1689066995 NPPES
Florida Other MH-0023512014 CERTIFIED BEHAVIORAL HEALTH TECHNICIAN

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