Individual
KELSEY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-566 KEAAU PAHOA RD # 188-111, KEAAU, HI 96749-8137
(808) 294-3022
Mailing address
16017 LONEOAK VIEW DR, LITHIA, FL 33547-4898
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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