Burdette, Regan Kelly
Burdette, Regan Kelly is an sole proprietor health care provider with primary practice located at 1244 Cimarron Cir Ne , Palm Bay FL 32905-3926. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Burdette, Regan Kelly can be contacted via phone (321) 914-6646.Contact Information
Primary practice address
1244 Cimarron Cir Ne
Palm Bay FL 32905-3926
Phone: (321) 914-6646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1841960747 |
|---|---|
| LBN Legal business name | Burdette, Regan Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2021 |
| Last updated | Sep 14th, 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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