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
Fax: (407) 671-5445
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538612486 NPPES
Florida MEDICAID 019702800

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