Chillingworth, Kelly K
Chillingworth, Kelly K is an sole proprietor health care provider with primary practice located at 2330 Niagara Falls Blvd , Tonawanda NY 14150-4759. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Chillingworth, Kelly K can be contacted via phone (716) 693-9666.Contact Information
Primary practice address
2330 Niagara Falls Blvd
Tonawanda NY 14150-4759
Phone: (716) 693-9666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 048559-1 | New York |
Profile Details
| NPI number | 1285814343 |
|---|---|
| LBN Legal business name | Chillingworth, Kelly K |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2007 |
| Last updated | Nov 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285814343 | NPPES |
| New York | MEDICAID | 01478871 |
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