Kelly Detherage
Kelly Detherage is a Case Manager/Care Coordinator in Orlando, Florida. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
601 W Michigan StOrlando, FL 32805-6203
Phone: (407) 317-7430
Fax: (407) 648-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1497167845 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2014 |
| Last updated in NPPES | October 16, 2014 |
| Mailing address | 601 W Michigan St, Orlando, FL 32805-6203 |
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