Mr. Kelly Johnson
Mr. Kelly Johnson is an Attendant Care Provider in Lake Wales, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
730 Osceola AveLake Wales, FL 33853-3423
Phone: (863) 632-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1639941974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 30, 2023 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 29, 2023 |
Other providers in Lake Wales
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Sonya Denise Phillips
231 Brookshire Dr, Lake Wales, FL 33898-7615 · (360) 480-1553