Individual
NATASHA VR KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 GUADLUPE STREET, HAINES CITY, FL 33844
(954) 257-7112
Mailing address
109 AMBERSWEET WAY UNIT 336, DAVENPORT, FL 33897-8418
(954) 257-7112
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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