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Contact Information

KELLY KINGSBURY
557 LA MANCHA DR
DAVENPORT, FL33837
 Phone: 207-332-9990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for KELLY KINGSBURY · (Female)

NPI # 1316378706
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2013
Last updated 12/10/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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