Individual
KELLY WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
639 QUEENSBRIDGE DR, LAKE MARY, FL 32746-6457
(407) 545-4938
Mailing address
639 QUEENSBRIDGE DR, LAKE MARY, FL 32746-6457
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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