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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881643039 | NPPES |
| Florida | Other | 744426 | AETNA PROVIDER NUMBER |
| Florida | Other | Y041K | AETNA PROVIDER NUMBER |
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