Individual
KELLYE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 STERLING WAY, PENSACOLA, FL 32506-8364
(850) 712-4515
Mailing address
816 STERLING WAY, PENSACOLA, FL 32506-8364
(850) 712-4515
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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