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Contact Information

KEESHA WYNN, CD
2795 FIRETHORN AVE FL 32073
ORANGE PARK, FL32073-1699
 Phone: 772-713-1880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Doula

374J00000X
 

Lactation Consultant

163WL0100X
Indicates primary specialty

NPI Profile & details for KEESHA WYNN · (Female)

NPI Number 1033997572
Status Active
Credentials CD
Entity Individual
Enumeration date 09/18/2023
Last updated 10/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN9169385
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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