# KAIRWELL WEIGHT AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629688221
- **Authorized official:** SEAN BANNISTER PA-C (OWNER, PRESIDENT)
- **Authorized official phone:** (972) 890-2156

## Contact information

- **Practice address:** 745 NW FEDERAL HWY, STUART, FL 34994-1016
- **Practice address phone:** (772) 291-2799
- **Mailing address:** 761 NW FEDERAL HWY, STUART, FL 34994-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 08/07/2020