Desierto, Kelly Mullen

Desierto, Kelly Mullen is an sole proprietor health care provider with primary practice located at 5330 W Devon Ave Suite 5, Chicago IL 60646-4148. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Desierto, Kelly Mullen can be contacted via phone (773) 682-7124.

Contact Information

Primary practice address
5330 W Devon Ave Suite 5 Chicago IL 60646-4148
Phone: (773) 682-7124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198.001110 Illinois

Profile Details

NPI number 1780069831
LBN Legal business name Desierto, Kelly Mullen
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2015
Last updated Jul 29th, 2015 - about 11 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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