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Mr. Kelly Johnson
Attendant Care Provider in Lake Wales, Florida
NPI 1639941974

Kelly Johnson is an Attendant Care Provider based in Lake Wales, FL and is specialized in Attendant Care Provider. Kelly Johnson practices in Lake Wales, FL. The NPI Number for Kelly Johnson is 1639941974 and holds a License No. (Florida).

The current practice location address for Kelly Johnson is 730 Osceola Ave, Lake Wales, FL and can be reached out via phone at 863-632-2992.

Location: 730 Osceola Ave, Lake Wales, FL, 33853-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639941974
Provider Name
Kelly Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
730 Osceola Ave, Lake Wales, FL, 33853-3423
Phone Number
863-632-2992
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
730 Osceola Ave
City
Lake Wales
State
Florida
Zip
33853-3423
Phone Number
863-632-2992
Fax Number
person
Provider Business Mailing Address Details
Address
730 Osceola Ave
City
Lake Wales
State
Florida
Zip
33853-3423
Phone Number
863-632-2992
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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