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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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