Finn, Kelly Michael
Finn, Kelly Michael is an sole proprietor health care provider with primary practice located at 5022 N 54Th Ave Ste 4 , Glendale AZ 85301-7531. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Finn, Kelly Michael can be contacted via phone (623) 931-4343.Contact Information
Primary practice address
5022 N 54Th Ave Ste 4
Glendale AZ 85301-7531
Phone: (623) 931-4343
Fax: (623) 939-3476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10886 | Arizona |
Profile Details
| NPI number | 1083886642 |
|---|---|
| LBN Legal business name | Finn, Kelly Michael |
| Credentials | MSW, LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Mar 24th, 2008 - about 18 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 | 1083886642 | NPPES |
| Arizona | Other | 600248032 | MAGELLAN PROVIDER ID NUMB |
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