Beatty, Kelvin Lynn

Beatty, Kelvin Lynn is an individual health care provider with primary practice located at 777 Bloomfield Ave , Clifton NJ 07012-1242. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Beatty, Kelvin Lynn can be contacted via phone (973) 594-0125.

Contact Information

Primary practice address
777 Bloomfield Ave Clifton NJ 07012-1242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00328300 New Jersey

Profile Details

NPI number 1902477508
LBN Legal business name Beatty, Kelvin Lynn
Credentials LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2021
Last updated Jul 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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