Black, Kelly Suzanne
Black, Kelly Suzanne is an sole proprietor health care provider with primary practice located at 389 S Swing Rd , Greensboro NC 27409-2009. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Black, Kelly Suzanne can be contacted via phone (479) 445-4033.Contact Information
Primary practice address
389 S Swing Rd
Greensboro NC 27409-2009
Phone: (479) 445-4033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | 212428 | North Carolina |
Profile Details
| NPI number | 1306598115 |
|---|---|
| LBN Legal business name | Black, Kelly Suzanne |
| Credentials | RN, IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2022 |
| Last updated | Jan 23rd, 2022 - about 4 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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