Individual
MR. JOSPEH WILLIAM KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5008 W LINEBAUGH AVE, SUITE 9, TAMPA, FL 33624-5095
(813) 908-5302
(813) 908-7013
Mailing address
5008 W LINEBAUGH AVE, SUITE 9, TAMPA, FL 33624-5095
(813) 908-5302
(813) 908-7013
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032609700
—
FL
Enumeration date
12/04/2007
Last updated
07/27/2009
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