Craig, Kelli
Craig, Kelli is an individual health care provider with primary practice located at 6110 Shallowford Rd , Chattanooga TN 37421-1894. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Craig, Kelli can be contacted via phone (423) 499-1031.Contact Information
Primary practice address
6110 Shallowford Rd
Chattanooga TN 37421-1894
Phone: (423) 499-1031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1053966309 |
|---|---|
| LBN Legal business name | Craig, Kelli |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2019 |
| Last updated | Aug 5th, 2019 - about 7 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 | 1053966309 | NPPES |
| Tennessee | MEDICAID | 101YM0800X |
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