Individual
CONTESSA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 NORTHWEST 2ND STREET, WEBSTER, FL 33597
(352) 638-8433
Mailing address
1326 W NORTH BLVD STE 6, LEESBURG, FL 34748-3997
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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