Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA FENNELL
Active Sole ProprietorALICIA FENNELL is a Skilled Nursing Facility healthcare provider located in KISSIMMEE, Florida. NPI 1104197151 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · KISSIMMEE, FL
Registration Details
- NPI Number
- 1104197151
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2012 (14.532734288259 yrs)
- Last Updated
- Jan 23, 2012
- License
-
OTA 11659 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1120 W DONEGAN AVEKISSIMMEE, FL, 347412247Browse FL providers · Browse ZIP 34741
- Phone
- 4078472854
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.