| Kelly Kreutz Consulting, Llc | |
|
7777 131st St Ste 14 Seminole FL 33776-4015 | |
| (727) 336-3100 | |
| Not Available |
| Full Name | Kelly Kreutz Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7777 131st St Ste 14, Seminole, Florida |
| Authorized Official Name and Position | Kelly Kreutz (PRESIDENT) |
| Authorized Official Contact | 7273363100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Kreutz Consulting, Llc 7777 131st St Ste 14 Seminole FL 33776-4015 Ph: (727) 336-3100 | Kelly Kreutz Consulting, Llc 7777 131st St Ste 14 Seminole FL 33776-4015 Ph: (727) 336-3100 |
| NPI Number | 1518629856 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 4082090832 |
|---|---|
| Medicare Enrollment ID | O20220930001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518629856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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