Individual
KELVIN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5004 CHIQUITA BLVD S APT 101, CAPE CORAL, FL 33914-7426
(239) 443-9651
Mailing address
5004 CHIQUITA BLVD S APT 101, CAPE CORAL, FL 33914-7426
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5174221
FL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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