Kelly Pawul

NPI 1609160886 · on the registry since 2011 · sole proprietor

Practice

Address: 15550 San Carlos Blvd
#0196
Fort Myers, FL 33908
Phone: (239) 433-2631
Organisation at this address: Holiday Cvs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
Licence states on file: FL, OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-07-15

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