Bennett, Kelly

Bennett, Kelly is an individual health care provider with primary practice located at 5306 N 17Th Ave , Phoenix AZ 85015-3035. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bennett, Kelly can be contacted via phone (602) 249-6674.

Contact Information

Primary practice address
5306 N 17Th Ave Phoenix AZ 85015-3035
Phone: (602) 249-6674
Fax: (480) 422-0052
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1184384489
LBN Legal business name Bennett, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2021
Last updated Dec 28th, 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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