Individual
MR. KELLY DEAN WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP, LP
Contact information
Practice address
7675 LANIER VIEW RDG, CUMMING, GA 30041-2162
(770) 844-1909
Mailing address
7675 LANIER VIEW RDG, CUMMING, GA 30041-2162
(770) 844-1909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000034
GA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
05/23/2008
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