Poncheri, Kelly A
Poncheri, Kelly A is an individual health care provider with primary practice located at 4712 Exploration Ave , Lakeland FL 33812-3319. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Poncheri, Kelly A can be contacted via phone (863) 644-1313.Contact Information
Primary practice address
4712 Exploration Ave
Lakeland FL 33812-3319
Phone: (863) 644-1313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC006075 | Pennsylvania |
Profile Details
| NPI number | 1689823742 |
|---|---|
| LBN Legal business name | Poncheri, Kelly A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Jul 22nd, 2016 - about 9 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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