Kelley, Kaitlyn
Kelley, Kaitlyn is an individual health care provider with primary practice located at 1928 Howell Branch Rd , Winter Park FL 32792-1013. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kelley, Kaitlyn can be contacted via phone (407) 671-5445.Contact Information
Primary practice address
1928 Howell Branch Rd
Winter Park FL 32792-1013
Phone: (407) 671-5445
Fax: (407) 671-5445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC5329 | Florida |
Profile Details
| NPI number | 1538612486 |
|---|---|
| LBN Legal business name | Kelley, Kaitlyn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2016 |
| Last updated | Jan 11th, 2022 - about 2 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 | 1538612486 | NPPES |
| Florida | MEDICAID | 019702800 |
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