Dickerson, Kellie
Dickerson, Kellie is an individual health care provider with primary practice located at 937 E 186Th St , Westfield IN 46074-7827. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Nursing Service Providers / Administrator. Nursing Service Providers / Administrator is her primary health care specialty. Dickerson, Kellie can be contacted via phone (317) 804-8044.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Gerontology | 163WG0600X | 28237448A | Indiana |
| Nursing Service Providers / Administrator | 163WA2000X | 28237448A | Indiana |
Profile Details
| NPI number | 1174292031 |
|---|---|
| LBN Legal business name | Dickerson, Kellie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Sep 13th, 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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