Individual
BRANDON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
5308 PINE NEEDLE CIR # T173, PALATKA, FL 32177-2375
(386) 916-6874
Mailing address
5308 PINE NEEDLE CIR # T173, PALATKA, FL 32177-2375
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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