Kelly Kraiss
Early Intervention Provider Agency in Orlando, FL. Individual provider (NPI-1).
NPI number1649770710
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1649770710
- Entity type
- Individual (NPI-1)
- Name
- Kelly Kraiss
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2018
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
601 W Michigan StOrlando, FL 32805-6203
Phone 407-317-7430
Mailing address
4832 Fairview AveOrlando, FL 32804-1762
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