Tommy Lewis Kellar | Lake Worth, FL • PECOS Search

Tommy Lewis Kellar

Counselor

Behavioral Health & Social Service Providers

3871 Suncrest Rd, Lake Worth, FL 33467-1541

PECOS Enrollment

Based on the most recent information from CMS, provider Tommy Lewis Kellar does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1689248544
Provider Type
Individual
Full Name
Kellar, Tommy Lewis
Gender
Male

Sole Proprietor
Yes
Enumeration Date
5/16/2021
Last Updated
5/16/2021

Contact Information

Practice Location

3871 Suncrest Rd, Lake Worth, FL 33467-1541

Unlisted Fax

Mailing Location

3871 Suncrest Rd, Lake Worth, FL 33467-1541

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License K460812711650 Florida