Individual provider · Type 1 NPI

Kelly Kallstrom Haddad, CNA

Personal Care Attendant · Lakeland, FL

NPI number 1760334205 Active

Practice location

6416 Odom Rd
Lakeland, FL 33809-4120

Fax (314) 800-5619

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	CNA430647 (FL)

Personal Care Attendant: 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

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About NPI 1760334205

Kelly Kallstrom Haddad, CNA's National Provider Identifier is 1760334205, issued on Feb 9, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Lakeland, FL. The record was last updated on Feb 9, 2026.