Individual
KIMBERLYN NANETTA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
8517 BROKEN WILLOW CT, TAMPA, FL 33647
(813) 846-9788
Mailing address
2916 HABANA WAY, TAMPA, FL 33614-7108
(813) 846-9788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10652
FL
Other
Enumeration date
12/30/2007
Last updated
03/31/2015
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