Burkhouse, Kelly

Burkhouse, Kelly is an sole proprietor health care provider with primary practice located at 500 Pine St Ste 3 , Jamestown NY 14701-5331. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burkhouse, Kelly can be contacted via phone (716) 499-9245.

Contact Information

Primary practice address
500 Pine St Ste 3 Jamestown NY 14701-5331
Phone: (716) 499-9245
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011032 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS008930L Pennsylvania

Profile Details

NPI number 1972694248
LBN Legal business name Burkhouse, Kelly
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972694248 NPPES
New York MEDICAID 01281507

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