Provider Demographics
NPI:1811517840
Name:HOWELL, KECIA (DVM)
Entity type:Individual
Prefix:DR
First Name:KECIA
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7433 US HIGHWAY 98 N
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-2140
Mailing Address - Country:US
Mailing Address - Phone:863-858-2252
Mailing Address - Fax:863-858-3491
Practice Address - Street 1:7433 US HIGHWAY 98 N
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-2140
Practice Address - Country:US
Practice Address - Phone:863-858-2252
Practice Address - Fax:863-858-3491
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM3618208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice