Blue, Kathelen
Blue, Kathelen is an individual health care provider with primary practice located at 137 Hospital Dr , Fort Walton Beach FL 32548-5063. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blue, Kathelen can be contacted via phone (850) 833-7400.Contact Information
Primary practice address
137 Hospital Dr
Fort Walton Beach FL 32548-5063
Phone: (850) 833-7400
Fax: (885) 083-3743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 7492 | Florida |
Profile Details
| NPI number | 1043283310 |
|---|---|
| LBN Legal business name | Blue, Kathelen |
| Credentials | L.M.H.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 17th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043283310 | NPPES |
| Florida | MEDICAID | 766213100 |
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