MEDICARE: KESSLIN LEWIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1184442162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESSLIN LEWIS

Provider Business Mailing Address
First Line	:	7015 SANDHURST DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5946
Country	:	US
Telephone Number	:	813-857-6031
Fax Number	:

Provider Business Practice Location Address
First Line	:	7015 SANDHURST DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5946
Country	:	US
Telephone Number	:	813-857-6031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	10/14/2024

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Directions to “ KESSLIN LEWIS ” Practice Location

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