Organization
KAIRWELL WEIGHT AND WELLNESS LLC
Active
Organization
KAIRWELL WEIGHT AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN BANNISTER PA-C (OWNER, PRESIDENT)
(972) 890-2156
Entity
Organization
Contact information
Practice address
745 NW FEDERAL HWY, STUART, FL 34994-1016
(772) 291-2799
Mailing address
761 NW FEDERAL HWY, STUART, FL 34994-1016
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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