Individual
RICHARD KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7630 LOON AVE, WINTER GARDEN, FL 34787
(213) 796-7096
Mailing address
7630 LOON AVE, WINTER GARDEN, FL 34787
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
P566015
NC
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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