Chance, Kelly D

Chance, Kelly D is an individual health care provider with primary practice located at 5001 Lake Ave , Saint Joseph MO 64504-1170. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chance, Kelly D can be contacted via phone (816) 238-7788.

Contact Information

Primary practice address
5001 Lake Ave Saint Joseph MO 64504-1170
Phone: (816) 238-7788
Fax: (816) 238-9298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2020000664 Missouri
Behavioral Health & Social Service Providers / Social Worker 104100000X 2017017986 Missouri

Profile Details

NPI number 1992215271
LBN Legal business name Chance, Kelly D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated May 19th, 2026 - about 5 months 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 1992215271 NPPES
Missouri MEDICAID 490066457

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