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NPI Code Detail

MEDICARE: MR. JOSPEH WILLIAM KELLEY

MEDICARE:  MR. JOSPEH WILLIAM KELLEY
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
1225CA2500XAssistive Technology Supplier Rehabilitation Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952583676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSPEH WILLIAM KELLEY
Provider Business Mailing Address
First Line : 5008 W LINEBAUGH AVE
Second Line : SUITE 9
City : TAMPA
State : FL
Zip : 33624-5095
Country : US
Telephone Number : 813-908-5302
Fax Number : 813-908-7013
Provider Business Practice Location Address
First Line : 5008 W LINEBAUGH AVE
Second Line : SUITE 9
City : TAMPA
State : FL
Zip : 33624-5095
Country : US
Telephone Number : 813-908-5302
Fax Number : 813-908-7013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2007
Last Update Date : 07/27/2009

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Directions to “ MR. JOSPEH WILLIAM KELLEY ” Practice Location

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