Search › Florida › 374J00000X
Keesha Wynn, CD
NPI 1033997572 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2795 Firethorn Ave Fl 32073
Orange Park, FL 32073 - Phone
- (772) 713-1880
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 163WL0100X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida