Kelly Marie Kisida

NPI #1184434607 in Casselberry, Florida

Provider Information

NPI Number: 1184434607
Entity Type: Individual
Name: Kelly Marie Kisida
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 8, 2025
Last Updated: Jan 8, 2025

Practice Location

Address: 853 SR 436
Address 2: SUITE 2099
City: Casselberry
State: Florida
ZIP Code: 32707
Phone: (407) 906-6167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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