Provider Demographics
NPI:1750279337
Name:KORTAS, KELLEE (NTP)
Entity type:Individual
Prefix:
First Name:KELLEE
Middle Name:
Last Name:KORTAS
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 TREETOP DR APT 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-6634
Mailing Address - Country:US
Mailing Address - Phone:810-305-1838
Mailing Address - Fax:
Practice Address - Street 1:2010 TREETOP DR APT 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-6634
Practice Address - Country:US
Practice Address - Phone:810-305-1838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach