Churchill, Kelsie Lynn

Churchill, Kelsie Lynn is an individual health care provider with primary practice located at 44020 Marietta Rd , Caldwell OH 43724-9124. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Churchill, Kelsie Lynn can be contacted via phone (740) 732-5233.

Contact Information

Primary practice address
44020 Marietta Rd Caldwell OH 43724-9124
Fax: (740) 732-4777
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1821581406
LBN Legal business name Churchill, Kelsie Lynn
Credentials BS,QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821581406 NPPES
Ohio MEDICAID 0291728

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