Individual
SAMANTHA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1205 4TH ST, KEY WEST, FL 33040-3707
(305) 434-7660
Mailing address
628 PEARY CT UNIT B, KEY WEST, FL 33040-7855
(520) 350-0286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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