SearchFlorida3747A0650X

Kelly Johnson

NPI 1639941974 · on the registry since 2023 · sole proprietor

Practice

Address
730 Osceola Ave
Lake Wales, FL 33853
Phone
(863) 632-2992

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Male
Record last updated
2023-10-30

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