Individual
KELLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HEALTH CARE AGENGY
Contact information
Practice address
14901 NE 7TH CT, MIAMI, FL 33161-2225
(305) 986-8826
Mailing address
14901 NE 7TH CT, MIAMI, FL 33161-2225
(305) 986-8826
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
230792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000441900
—
FL
Enumeration date
10/17/2018
Last updated
02/19/2020
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