KELLI DEFOE NPI 1689066995

NPI Information

NPI: 1689066995
Provider Name: KELLI DEFOE
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
1239 E MAIN ST
BARTOW, FL
ZIP 33830
Phone: (863) 519-0575
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Kelli Defoe is a technician other in Bartow, FL. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Kelli Defoe NPI is 1689066995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1239 E MAIN ST
BARTOW, FL
ZIP 33830-058
Phone: (863) 519-0575

The enumeration date for this NPI number is 2/24/2015 and was last updated on 2/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247200000X	Technician, Other				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MH-0023512014	OTHER	FLORIDA	CERTIFIED BEHAVIORAL HEALTH TECHNICIAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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