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KELLY KALLSTROM HADDAD CNA
NPI 1760334205
Technician - Personal Care Attendant in Lakeland, FL

Active since February 09, 2026
6416 ODOM RD, LAKELAND, FL 33809(314) 800-5619(314) 800-5619 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Kallstrom Haddad Cna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KALLSTROM HADDAD CNA (NPI 1760334205) is an individual personal care attendant in Lakeland, Florida, licensed in Florida (CNA430647) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1760334205
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKELLY KALLSTROM HADDADCredential: CNA
Location Address6416 ODOM RDLakeland, FL 33809-4120
Mailing Address6416 Odom RdLakeland, FL 33809-4120 · (314) 800-5619 · Fax (314) 800-5619
Phone(314) 800-5619
Fax(314) 800-5619
Sole ProprietorNo
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1760334205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in FL · CNA430647
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
6416 ODOM RD, Lakeland, FL 33809
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Haddad's NPI number?

The NPI number for Kelly Haddad is 1760334205. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Kelly Haddad located?

Kelly Haddad practices at 6416 Odom Rd, Lakeland, FL 33809. The listed phone number is (314) 800-5619.

What is Kelly Haddad's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kelly Haddad was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.