Bowers, Kelli
Bowers, Kelli is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bowers, Kelli can be contacted via phone (541) 883-1030.Contact Information
Primary practice address
2210 N Eldorado Ave
Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 121040-3501 | Utah |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | L13415 | Oregon |
Profile Details
| NPI number | 1083695142 |
|---|---|
| LBN Legal business name | Bowers, Kelli |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Aug 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083695142 | NPPES |
| Utah | Other | 682028 | DMBA |
| Utah | Other | 1041C0700X | DMBA |
| Utah | Other | 261QR0405X | DMBA |
| Utah | Other | 01210403501001 | DMBA |
| Utah | Other | P00117833 | DMBA |
| Utah | MEDICAID | 942938348014 | DMBA |
| Utah | Other | 107032367010 | DMBA |
| Utah | Other | 942938348OLS | DMBA |
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