Individual
KETTLY MONLIN ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11990 NE 16TH AVE APT 203, MIAMI, FL 33161-6675
(305) 298-9812
Mailing address
11990 NE 16TH AVE APT 203, MIAMI, FL 33161-6675
(305) 298-9812
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT15087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TT15087
—
FL
Enumeration date
08/28/2019
Last updated
08/28/2019
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