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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1154454700 NPPES
Florida Other Y902L BCBS FL GROUP PROVIDER #

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