Individual
KAITLYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1928 HOWELL BRANCH RD, WINTER PARK, FL 32792-1013
(407) 671-5445
(407) 671-5445
Mailing address
1928 HOWELL BRANCH RD, WINTER PARK, FL 32792-1013
(407) 671-5445
(407) 671-5445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019702800
—
FL
Enumeration date
07/27/2016
Last updated
01/11/2022
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