Individual
KELLY KALLSTROM HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6416 ODOM RD, LAKELAND, FL 33809-4120
(314) 800-5619
(314) 800-5619
Mailing address
6416 ODOM RD, LAKELAND, FL 33809-4120
(314) 800-5619
(314) 800-5619
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CNA430647
FL
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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