Individual
KETTLY MONLIN ALEXIS
Active
Individual
KETTLY MONLIN ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
Update your record
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