Individual
KELLY KRAISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
Mailing address
4832 FAIRVIEW AVE, ORLANDO, FL 32804-1762
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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